Outcome of dogs and cats with benign oesophageal strictures after balloon dilatation or stenting: 27 cases (2002-2019).


Journal

The Journal of small animal practice
ISSN: 1748-5827
Titre abrégé: J Small Anim Pract
Pays: England
ID NLM: 0165053

Informations de publication

Date de publication:
10 2021
Historique:
revised: 26 04 2021
received: 06 02 2021
accepted: 24 05 2021
pubmed: 24 6 2021
medline: 15 12 2021
entrez: 23 6 2021
Statut: ppublish

Résumé

Acquired oesophageal strictures remain challenging to manage in canine and feline patients. The aims of this study were to describe the treatment, complications, short-term outcome and long-term follow-up of benign oesophageal strictures treated by balloon dilatation or stenting in dogs and cats and to describe adjunctive techniques to minimise the complication rate of stent placement. Retrospective analysis of medical records of dogs and cats with benign oesophageal stricture diagnosed under endoscopy between 2002 and 2019. Eighteen dogs and nine cats were included, representing 39 strictures. Balloon dilatation was used as first-line therapy, with a good outcome in 59% of cases. Stents were placed in eight cases due to stricture recurrence; 88% had a long-term satisfactory outcome. Short-term complications occurred in six of eight cases; migration and aberrant mucosal reaction were uncommon. In three cases, progressive mesh cutting during follow-up reduced discomfort and trichobezoars formation and improved long-term stent tolerance. Overall median survival time was 730 days. Long-term prognosis of balloon dilatation as a first-line therapy for esophageal strictures and of stenting as a rescue therapy was considered satisfactory. Although discomfort associated with stenting was frequent, tolerability might be improved by per-endoscopic adjunctive techniques.

Identifiants

pubmed: 34159606
doi: 10.1111/jsap.13392
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

886-894

Informations de copyright

© 2021 British Small Animal Veterinary Association.

Références

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Auteurs

F Da Riz (F)

Service de Médecine interne, Ecole Nationale Vétérinaire d'Alfort, Université Paris-Est, Maisons-Alfort, F-94700, France.

J Béguin (J)

Service de Médecine interne, Ecole Nationale Vétérinaire d'Alfort, Université Paris-Est, Maisons-Alfort, F-94700, France.

M Manassero (M)

Service de Chirurgie, Ecole Nationale Vétérinaire d'Alfort, Université Paris-Est, Maisons-Alfort, F-94700, France.

M Faucher (M)

Clinique Vétérinaire Alliance, Bordeaux, France.

V Freiche (V)

Clinique Vétérinaire Alliance, Bordeaux, France.

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