Journal of the American Veterinary Medical Association · 2025
Surgical management of cricopharyngeal achalasia in Spaniels results in favorable outcomes, with persistence or recurrence of mild signs documented in some dogs.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Henderson Claire, Rossanese Matteo, Salmoral Alvaro, Murgia Daniela
Аннотация
OBJECTIVE: To describe clinical presentations, diagnostic findings, surgical treatments, and outcomes for Spaniels with cricopharyngeal achalasia (CPA).
ANIMALS: 18 purebred or mixed-breed Spaniels treated surgically for CPA between 2003 and 2022.
CLINICAL PRESENTATION: Owners most commonly reported dysphagia (n = 13) and coughing when eating or drinking (10). There were 10 males (9 sexually intact, 1 castrated) and 8 sexually intact females. Median age and weight were 6 months (range, 5 to 59 months) and 8.0 kg (range, 0.8 to 22.0 kg), respectively. Median age at onset of clinical signs was 3 months (range, 5 to 6 months; n = 15). Body condition score on a scale from 1 (emaciated) to 5 (obese) was documented for 17 dogs: 13 dogs had a body condition score of 3/5, and 4 had a score of 2/5.
RESULTS: Fluoroscopic barium-swallow esophagography was performed for all dogs, and all had findings consistent with CPA. Dogs underwent cricopharyngeal myectomy (n = 10), cricopharyngeal myectomy and thyropharyngeal myotomy (5), cricopharyngeal myectomy and thyropharyngeal myectomy (2), or cricopharyngeal myotomy alone (1). Seventeen dogs survived to hospital discharge: 11 had immediate complete resolution of signs, 5 had partial resolution, and 1 had no clinical improvement. Clinical signs recurred in 3 dogs after initial cricopharyngeal myectomy.
CLINICAL RELEVANCE: Differential diagnoses for young dysphagic dogs should include CPA. Our findings suggest that dogs undergoing surgical treatment for CPA have favorable outcomes; however, some dogs in this study had persistence or recurrence of mild clinical signs.
ANIMALS: 18 purebred or mixed-breed Spaniels treated surgically for CPA between 2003 and 2022.
CLINICAL PRESENTATION: Owners most commonly reported dysphagia (n = 13) and coughing when eating or drinking (10). There were 10 males (9 sexually intact, 1 castrated) and 8 sexually intact females. Median age and weight were 6 months (range, 5 to 59 months) and 8.0 kg (range, 0.8 to 22.0 kg), respectively. Median age at onset of clinical signs was 3 months (range, 5 to 6 months; n = 15). Body condition score on a scale from 1 (emaciated) to 5 (obese) was documented for 17 dogs: 13 dogs had a body condition score of 3/5, and 4 had a score of 2/5.
RESULTS: Fluoroscopic barium-swallow esophagography was performed for all dogs, and all had findings consistent with CPA. Dogs underwent cricopharyngeal myectomy (n = 10), cricopharyngeal myectomy and thyropharyngeal myotomy (5), cricopharyngeal myectomy and thyropharyngeal myectomy (2), or cricopharyngeal myotomy alone (1). Seventeen dogs survived to hospital discharge: 11 had immediate complete resolution of signs, 5 had partial resolution, and 1 had no clinical improvement. Clinical signs recurred in 3 dogs after initial cricopharyngeal myectomy.
CLINICAL RELEVANCE: Differential diagnoses for young dysphagic dogs should include CPA. Our findings suggest that dogs undergoing surgical treatment for CPA have favorable outcomes; however, some dogs in this study had persistence or recurrence of mild clinical signs.