Intermittent Gastroesophageal Intussusception in a Kitten Resolved with a Percutaneous Gastropexy

Gastroesophageal intussusception is a rare pathology characterized by an acute or intermittent invagination of the stomach into the lumen caudal to the thoracic esophagus, the pathogenesis is not well understood, although it is likely multifactorial. The mortality is high, associated with a late dia...

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Autores principales: Del-Angel-Caraza Javier, Alvarez-Contreras Paolo Cesar, Barbosa-Mireles Marco Antonio, Quijano-Hernández Israel Alejandro
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Lenguaje:EN
Publicado: Sciendo 2016
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Acceso en línea:https://doaj.org/article/a829d1346ed549a6816520cc64b9aa48
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spelling oai:doaj.org-article:a829d1346ed549a6816520cc64b9aa482021-11-17T21:27:51ZIntermittent Gastroesophageal Intussusception in a Kitten Resolved with a Percutaneous Gastropexy1820-744810.1515/acve-2016-0035https://doaj.org/article/a829d1346ed549a6816520cc64b9aa482016-09-01T00:00:00Zhttps://doi.org/10.1515/acve-2016-0035https://doaj.org/toc/1820-7448Gastroesophageal intussusception is a rare pathology characterized by an acute or intermittent invagination of the stomach into the lumen caudal to the thoracic esophagus, the pathogenesis is not well understood, although it is likely multifactorial. The mortality is high, associated with a late diagnosis and a rapid deterioration. A 4-month-old male domestic shorthair kitten presented for evaluation of intermittent respiratory distress and abdominal discomfort with two weeks of evolution. Based on clinical history, clinical sings and imaging studies a diagnosis of intermittent gastroesophageal intussusception was established. The reduction of the intussusception was performed with endoscopy maneuvers and with medical and nutritional management for some days, but this failed and finally was reduced with a percutaneous gastropexy tube to prevent recurrence with a good long-term outcome. Gastroesophageal intussusception in cats is associated with megaesophagus or hiatal hernia, and should be considered as a differential diagnosis in patients with chronic vomiting, regurgitation or respiratory disease. Survey and contrasted thoracic radiographs can be used to identify gross anatomical abnormalities, but the definitive diagnosis should be made by esophagogastroscopy with the possibility of reducing the intussusception. The use of percutaneous gastropexy provides other possible option to conventional surgery for the management of this pathology in cats.Del-Angel-Caraza JavierAlvarez-Contreras Paolo CesarBarbosa-Mireles Marco AntonioQuijano-Hernández Israel AlejandroSciendoarticlecatgastroesophageal intussusceptionmegaesophaguspercutaneous gastropexyVeterinary medicineSF600-1100ENActa Veterinaria, Vol 66, Iss 3, Pp 413-421 (2016)
institution DOAJ
collection DOAJ
language EN
topic cat
gastroesophageal intussusception
megaesophagus
percutaneous gastropexy
Veterinary medicine
SF600-1100
spellingShingle cat
gastroesophageal intussusception
megaesophagus
percutaneous gastropexy
Veterinary medicine
SF600-1100
Del-Angel-Caraza Javier
Alvarez-Contreras Paolo Cesar
Barbosa-Mireles Marco Antonio
Quijano-Hernández Israel Alejandro
Intermittent Gastroesophageal Intussusception in a Kitten Resolved with a Percutaneous Gastropexy
description Gastroesophageal intussusception is a rare pathology characterized by an acute or intermittent invagination of the stomach into the lumen caudal to the thoracic esophagus, the pathogenesis is not well understood, although it is likely multifactorial. The mortality is high, associated with a late diagnosis and a rapid deterioration. A 4-month-old male domestic shorthair kitten presented for evaluation of intermittent respiratory distress and abdominal discomfort with two weeks of evolution. Based on clinical history, clinical sings and imaging studies a diagnosis of intermittent gastroesophageal intussusception was established. The reduction of the intussusception was performed with endoscopy maneuvers and with medical and nutritional management for some days, but this failed and finally was reduced with a percutaneous gastropexy tube to prevent recurrence with a good long-term outcome. Gastroesophageal intussusception in cats is associated with megaesophagus or hiatal hernia, and should be considered as a differential diagnosis in patients with chronic vomiting, regurgitation or respiratory disease. Survey and contrasted thoracic radiographs can be used to identify gross anatomical abnormalities, but the definitive diagnosis should be made by esophagogastroscopy with the possibility of reducing the intussusception. The use of percutaneous gastropexy provides other possible option to conventional surgery for the management of this pathology in cats.
format article
author Del-Angel-Caraza Javier
Alvarez-Contreras Paolo Cesar
Barbosa-Mireles Marco Antonio
Quijano-Hernández Israel Alejandro
author_facet Del-Angel-Caraza Javier
Alvarez-Contreras Paolo Cesar
Barbosa-Mireles Marco Antonio
Quijano-Hernández Israel Alejandro
author_sort Del-Angel-Caraza Javier
title Intermittent Gastroesophageal Intussusception in a Kitten Resolved with a Percutaneous Gastropexy
title_short Intermittent Gastroesophageal Intussusception in a Kitten Resolved with a Percutaneous Gastropexy
title_full Intermittent Gastroesophageal Intussusception in a Kitten Resolved with a Percutaneous Gastropexy
title_fullStr Intermittent Gastroesophageal Intussusception in a Kitten Resolved with a Percutaneous Gastropexy
title_full_unstemmed Intermittent Gastroesophageal Intussusception in a Kitten Resolved with a Percutaneous Gastropexy
title_sort intermittent gastroesophageal intussusception in a kitten resolved with a percutaneous gastropexy
publisher Sciendo
publishDate 2016
url https://doaj.org/article/a829d1346ed549a6816520cc64b9aa48
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AT alvarezcontreraspaolocesar intermittentgastroesophagealintussusceptioninakittenresolvedwithapercutaneousgastropexy
AT barbosamirelesmarcoantonio intermittentgastroesophagealintussusceptioninakittenresolvedwithapercutaneousgastropexy
AT quijanohernandezisraelalejandro intermittentgastroesophagealintussusceptioninakittenresolvedwithapercutaneousgastropexy
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