Ultrasonographic features and prevalence of presumed gastric wall edema in dogs with hypoalbuminemia

Abstract Background Ultrasonographic features of gastric wall edema have not been reported in dogs with hypoalbuminemia. Objectives To describe the prevalence and ultrasonographic features of gastric wall thickening in dogs with hypoalbuminemia and analyze correlation with serum albumin concentratio...

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Main Authors: Masahiro Murakami, Hock Gan Heng, Chee Kin Lim, Nolie K. Parnell, Mario Sola
Format: Article
Language:English
Published: Wiley 2020-09-01
Series:Journal of Veterinary Internal Medicine
Subjects:
Online Access:https://doi.org/10.1111/jvim.15829
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author Masahiro Murakami
Hock Gan Heng
Chee Kin Lim
Nolie K. Parnell
Mario Sola
author_facet Masahiro Murakami
Hock Gan Heng
Chee Kin Lim
Nolie K. Parnell
Mario Sola
author_sort Masahiro Murakami
collection DOAJ
description Abstract Background Ultrasonographic features of gastric wall edema have not been reported in dogs with hypoalbuminemia. Objectives To describe the prevalence and ultrasonographic features of gastric wall thickening in dogs with hypoalbuminemia and analyze correlation with serum albumin concentrations. Animals Forty‐two dogs with abdominal ultrasound and diagnosis of hypoalbuminemia (<2.3 g/dL). Methods Retrospective search in the medical records from 2018 to 2019 was performed. Ultrasound studies were reviewed and >5 mm were considered gastric wall thickening. The gastric wall changes such as thickness, layering appearance, echogenicity, echotexture, distribution of lesions, and presence of peritoneal effusion were recorded. Serial ultrasonographic examination and histopathological findings were recorded if available. Mean serum albumin concentration of dogs with and without gastric wall thickening was compared. Results Prevalence of gastric wall thickening in dogs with hypoalbuminemia was 21.4% (95% confidence intervals 7.4‐35.4%). Mean gastric wall thickness was 10.0 ± 2.0 mm. Preserved mucosal layer and thickening of submucosal layer were observed in all 9 dogs. Five dogs had 3‐layer appearance in thickened submucosal layer. Diffuse wall thickening was observed in 6 dogs. All 9 dogs had peritoneal effusion. Subsequent changes of gastric wall thickening were observed in 3 dogs (range 4‐70 days). Gastric wall edema was confirmed histopathologically in 2 dogs via necropsy. There was no correlation between serum albumin concentration of the dogs and gastric wall thickness. Conclusions and clinical importance Findings indicated that gastric wall edema is a common finding in dogs with hypoalbuminemia. However, serum albumin concentrations did not correlate with the gastric wall thickness.
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spelling doaj.art-03ad3a0c664845228352254ea93a375c2022-12-21T23:36:28ZengWileyJournal of Veterinary Internal Medicine0891-66401939-16762020-09-013451867187110.1111/jvim.15829Ultrasonographic features and prevalence of presumed gastric wall edema in dogs with hypoalbuminemiaMasahiro Murakami0Hock Gan Heng1Chee Kin Lim2Nolie K. Parnell3Mario Sola4Department of Veterinary Clinical Sciences College of Veterinary Medicine West Lafayette Indiana USADepartment of Veterinary Clinical Sciences College of Veterinary Medicine West Lafayette Indiana USADepartment of Veterinary Clinical Sciences College of Veterinary Medicine West Lafayette Indiana USADepartment of Veterinary Clinical Sciences College of Veterinary Medicine West Lafayette Indiana USADepartment of Comparative Pathobiology Purdue University West Lafayette Indiana USAAbstract Background Ultrasonographic features of gastric wall edema have not been reported in dogs with hypoalbuminemia. Objectives To describe the prevalence and ultrasonographic features of gastric wall thickening in dogs with hypoalbuminemia and analyze correlation with serum albumin concentrations. Animals Forty‐two dogs with abdominal ultrasound and diagnosis of hypoalbuminemia (<2.3 g/dL). Methods Retrospective search in the medical records from 2018 to 2019 was performed. Ultrasound studies were reviewed and >5 mm were considered gastric wall thickening. The gastric wall changes such as thickness, layering appearance, echogenicity, echotexture, distribution of lesions, and presence of peritoneal effusion were recorded. Serial ultrasonographic examination and histopathological findings were recorded if available. Mean serum albumin concentration of dogs with and without gastric wall thickening was compared. Results Prevalence of gastric wall thickening in dogs with hypoalbuminemia was 21.4% (95% confidence intervals 7.4‐35.4%). Mean gastric wall thickness was 10.0 ± 2.0 mm. Preserved mucosal layer and thickening of submucosal layer were observed in all 9 dogs. Five dogs had 3‐layer appearance in thickened submucosal layer. Diffuse wall thickening was observed in 6 dogs. All 9 dogs had peritoneal effusion. Subsequent changes of gastric wall thickening were observed in 3 dogs (range 4‐70 days). Gastric wall edema was confirmed histopathologically in 2 dogs via necropsy. There was no correlation between serum albumin concentration of the dogs and gastric wall thickness. Conclusions and clinical importance Findings indicated that gastric wall edema is a common finding in dogs with hypoalbuminemia. However, serum albumin concentrations did not correlate with the gastric wall thickness.https://doi.org/10.1111/jvim.15829caninegastric wall thickeninghypoalbuminemiasubmucosal edemaultrasonography
spellingShingle Masahiro Murakami
Hock Gan Heng
Chee Kin Lim
Nolie K. Parnell
Mario Sola
Ultrasonographic features and prevalence of presumed gastric wall edema in dogs with hypoalbuminemia
Journal of Veterinary Internal Medicine
canine
gastric wall thickening
hypoalbuminemia
submucosal edema
ultrasonography
title Ultrasonographic features and prevalence of presumed gastric wall edema in dogs with hypoalbuminemia
title_full Ultrasonographic features and prevalence of presumed gastric wall edema in dogs with hypoalbuminemia
title_fullStr Ultrasonographic features and prevalence of presumed gastric wall edema in dogs with hypoalbuminemia
title_full_unstemmed Ultrasonographic features and prevalence of presumed gastric wall edema in dogs with hypoalbuminemia
title_short Ultrasonographic features and prevalence of presumed gastric wall edema in dogs with hypoalbuminemia
title_sort ultrasonographic features and prevalence of presumed gastric wall edema in dogs with hypoalbuminemia
topic canine
gastric wall thickening
hypoalbuminemia
submucosal edema
ultrasonography
url https://doi.org/10.1111/jvim.15829
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AT cheekinlim ultrasonographicfeaturesandprevalenceofpresumedgastricwalledemaindogswithhypoalbuminemia
AT noliekparnell ultrasonographicfeaturesandprevalenceofpresumedgastricwalledemaindogswithhypoalbuminemia
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