Ultrasonographic features of presumed gastric wall edema in 14 dogs with pancreatitis

Abstract Background Gastric wall edema has not been reported as a complication of acute pancreatitis in dogs. Objective To describe the ultrasonographic features of gastric wall thickening in dogs with acute pancreatitis. Animals Fourteen dogs with ultrasonographic evidence and clinical diagnosis of...

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Main Authors: Masahiro Murakami, Hock Gan Heng, Chee Kin Lim, Nolie K. Parnell, Nicholas J. Rancilio, Tsang L. Lin, Mario Sola
Format: Article
Language:English
Published: Wiley 2019-05-01
Series:Journal of Veterinary Internal Medicine
Subjects:
Online Access:https://doi.org/10.1111/jvim.15507
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author Masahiro Murakami
Hock Gan Heng
Chee Kin Lim
Nolie K. Parnell
Nicholas J. Rancilio
Tsang L. Lin
Mario Sola
author_facet Masahiro Murakami
Hock Gan Heng
Chee Kin Lim
Nolie K. Parnell
Nicholas J. Rancilio
Tsang L. Lin
Mario Sola
author_sort Masahiro Murakami
collection DOAJ
description Abstract Background Gastric wall edema has not been reported as a complication of acute pancreatitis in dogs. Objective To describe the ultrasonographic features of gastric wall thickening in dogs with acute pancreatitis. Animals Fourteen dogs with ultrasonographic evidence and clinical diagnosis of acute pancreatitis, with ultrasonographic evidence of increased gastric wall thickness (>5 mm). Methods A retrospective search in the medical records from 2014 to 2016 was performed to identify dogs that had ultrasonographic evidence of acute pancreatitis, that had increased thickness of the gastric wall and that were diagnosed with acute pancreatitis clinically. The gastric wall changes such as thickness, layering appearance, echogenicity, distribution of lesions, and perigastric changes were recorded. Serial ultrasonographic examination and histopathological findings were recorded if available. Results Mean gastric wall thickness was 9.9 ± 4.0 mm (SD). A complete loss of wall layering was observed in 2 dogs. Thickening of the submucosal layer was observed in 12 dogs, and 5 of them had concurrent muscularis layer thickening. The echogenicity of thickened submucosal layer was intermediate hyperechoic. Lacy appearances were present within the thickened submucosal layer in 7 dogs and in the muscularis layer of 1 dog. Thickening was focal in 12 dogs and adjacent to the diseased pancreas. Subsequent resolution of gastric wall thickening was observed in 3 dogs (range 3‐28 days) via follow‐up ultrasound. One dog underwent necropsy, and gastric wall edema was confirmed histopathologically. Conclusions and Clinical Importance Findings indicated that gastric wall thickening presumably because of edema could be a complication of acute pancreatitis.
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spelling doaj.art-44209aab49a9454cbcd7b8f15ebcf1bd2022-12-22T03:07:07ZengWileyJournal of Veterinary Internal Medicine0891-66401939-16762019-05-013331260126510.1111/jvim.15507Ultrasonographic features of presumed gastric wall edema in 14 dogs with pancreatitisMasahiro Murakami0Hock Gan Heng1Chee Kin Lim2Nolie K. Parnell3Nicholas J. Rancilio4Tsang L. Lin5Mario Sola6Department of Veterinary Clinical Sciences, College of Veterinary Medicine Purdue University West Lafayette IndianaDepartment of Veterinary Clinical Sciences, College of Veterinary Medicine Purdue University West Lafayette IndianaDepartment of Veterinary Clinical Sciences, College of Veterinary Medicine Purdue University West Lafayette IndianaDepartment of Veterinary Clinical Sciences, College of Veterinary Medicine Purdue University West Lafayette IndianaDepartment of Veterinary Clinical Sciences, College of Veterinary Medicine Purdue University West Lafayette IndianaDepartment of Comparative Pathobiology Purdue University West Lafayette IndianaDepartment of Comparative Pathobiology Purdue University West Lafayette IndianaAbstract Background Gastric wall edema has not been reported as a complication of acute pancreatitis in dogs. Objective To describe the ultrasonographic features of gastric wall thickening in dogs with acute pancreatitis. Animals Fourteen dogs with ultrasonographic evidence and clinical diagnosis of acute pancreatitis, with ultrasonographic evidence of increased gastric wall thickness (>5 mm). Methods A retrospective search in the medical records from 2014 to 2016 was performed to identify dogs that had ultrasonographic evidence of acute pancreatitis, that had increased thickness of the gastric wall and that were diagnosed with acute pancreatitis clinically. The gastric wall changes such as thickness, layering appearance, echogenicity, distribution of lesions, and perigastric changes were recorded. Serial ultrasonographic examination and histopathological findings were recorded if available. Results Mean gastric wall thickness was 9.9 ± 4.0 mm (SD). A complete loss of wall layering was observed in 2 dogs. Thickening of the submucosal layer was observed in 12 dogs, and 5 of them had concurrent muscularis layer thickening. The echogenicity of thickened submucosal layer was intermediate hyperechoic. Lacy appearances were present within the thickened submucosal layer in 7 dogs and in the muscularis layer of 1 dog. Thickening was focal in 12 dogs and adjacent to the diseased pancreas. Subsequent resolution of gastric wall thickening was observed in 3 dogs (range 3‐28 days) via follow‐up ultrasound. One dog underwent necropsy, and gastric wall edema was confirmed histopathologically. Conclusions and Clinical Importance Findings indicated that gastric wall thickening presumably because of edema could be a complication of acute pancreatitis.https://doi.org/10.1111/jvim.15507caninegastric wall thickeningsubmucosal edemaultrasound
spellingShingle Masahiro Murakami
Hock Gan Heng
Chee Kin Lim
Nolie K. Parnell
Nicholas J. Rancilio
Tsang L. Lin
Mario Sola
Ultrasonographic features of presumed gastric wall edema in 14 dogs with pancreatitis
Journal of Veterinary Internal Medicine
canine
gastric wall thickening
submucosal edema
ultrasound
title Ultrasonographic features of presumed gastric wall edema in 14 dogs with pancreatitis
title_full Ultrasonographic features of presumed gastric wall edema in 14 dogs with pancreatitis
title_fullStr Ultrasonographic features of presumed gastric wall edema in 14 dogs with pancreatitis
title_full_unstemmed Ultrasonographic features of presumed gastric wall edema in 14 dogs with pancreatitis
title_short Ultrasonographic features of presumed gastric wall edema in 14 dogs with pancreatitis
title_sort ultrasonographic features of presumed gastric wall edema in 14 dogs with pancreatitis
topic canine
gastric wall thickening
submucosal edema
ultrasound
url https://doi.org/10.1111/jvim.15507
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AT noliekparnell ultrasonographicfeaturesofpresumedgastricwalledemain14dogswithpancreatitis
AT nicholasjrancilio ultrasonographicfeaturesofpresumedgastricwalledemain14dogswithpancreatitis
AT tsangllin ultrasonographicfeaturesofpresumedgastricwalledemain14dogswithpancreatitis
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