Horizontal and vertical beam radiographs in vomiting dogs to diagnose mechanical gastrointestinal ileus: A diagnostic imaging comparative study

Background: The horizontal beam (HB) view has been used in the identification of pneumothorax, pleural effusion and pneumoperitoneum in small animals. Based on the literature, there were no published data evaluating the utility of HB radiography in vomiting dogs to differentiate between patients wit...

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Main Authors: Maria Frau Tascon, Hock Gan Heng, Rosa Novellas Torroja, Yvonne Espada Gerlach, Carlo Anselmi
Format: Article
Language:English
Published: Tripoli University 2022-04-01
Series:Open Veterinary Journal
Subjects:
Online Access:https://www.openveterinaryjournal.com/OVJ-2021-12-232%20M.F.%20Tascon%20et%20al.pdf
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author Maria Frau Tascon
Hock Gan Heng
Rosa Novellas Torroja
Yvonne Espada Gerlach
Carlo Anselmi
author_facet Maria Frau Tascon
Hock Gan Heng
Rosa Novellas Torroja
Yvonne Espada Gerlach
Carlo Anselmi
author_sort Maria Frau Tascon
collection DOAJ
description Background: The horizontal beam (HB) view has been used in the identification of pneumothorax, pleural effusion and pneumoperitoneum in small animals. Based on the literature, there were no published data evaluating the utility of HB radiography in vomiting dogs to differentiate between patients with or without mechanical gastrointestinal ileus. Aim: The purpose of this prospective pilot study was to determine the utility of HB radiograph as an additional view in vomiting dogs to differentiate patients with or without mechanical gastrointestinal ileus; and describe if there are any radiographic image characteristics associated with the HB view for patients with mechanical gastrointestinal ileus. Methods: A prospective study was performed on dogs presented with acute vomiting. For all dogs, four radiographic views (ventrodorsal, right lateral, left lateral and left to right lateral HB in sternal recumbency) of the abdomen and abdominal ultrasound were obtained. If a mechanical ileus was detected ultrasonographically, an exploratory laparotomy or endoscopy was performed, otherwise medical treatment was elected. Results: A total of 22 patients were recruited, 11 diagnosed with mechanical ileus and 11 without mechanical ileus. Three blinded reviewers independently assessed the radiographs in three sets: vertical beam (VB) views, HB view alone, and a combination of both views. No statistical difference was found in the differentiation between patients with or without mechanical gastrointestinal ileus between HB view alone or added to VB views. Conclusion: This study suggests, the HB view in sternal recumbency may be an alternative for patients which are not stable enough to be positioned in lateral or ventrodorsal recumbency.
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spelling doaj.art-61468e9b554c4907a24a0209cd3eccc22022-12-22T00:44:06ZengTripoli UniversityOpen Veterinary Journal2226-44852218-60502022-04-0112228128910.5455/OVJ.2022.v12.i2.17Horizontal and vertical beam radiographs in vomiting dogs to diagnose mechanical gastrointestinal ileus: A diagnostic imaging comparative studyMaria Frau Tascon0https://orcid.org/0000-0003-1767-4901Hock Gan Heng1https://orcid.org/0000-0001-5302-5402Rosa Novellas Torroja2https://orcid.org/0000-0003-2392-9202Yvonne Espada Gerlach3https://orcid.org/0000-0003-1556-6587Carlo Anselmi4https://orcid.org/0000-0001-6894-310XFundació Hospital Clínic Veterinari, Universitat Autònoma de Barcelona, 08193, Bellaterra, Barcelona, SpainVeterinary Clinical Sciences, Purdue University College of Veterinary Medicine, West Lafayette, USAFundació Hospital Clínic Veterinari, Universitat Autònoma de Barcelona, 08193, Bellaterra, Barcelona, SpainFundació Hospital Clínic Veterinari, Universitat Autònoma de Barcelona, 08193, Bellaterra, Barcelona, SpainFundació Hospital Clínic Veterinari, Universitat Autònoma de Barcelona, 08193, Bellaterra, Barcelona, Spain and Current address: Pride Veterinary Centre-Scarsdalevets, Derby, UKBackground: The horizontal beam (HB) view has been used in the identification of pneumothorax, pleural effusion and pneumoperitoneum in small animals. Based on the literature, there were no published data evaluating the utility of HB radiography in vomiting dogs to differentiate between patients with or without mechanical gastrointestinal ileus. Aim: The purpose of this prospective pilot study was to determine the utility of HB radiograph as an additional view in vomiting dogs to differentiate patients with or without mechanical gastrointestinal ileus; and describe if there are any radiographic image characteristics associated with the HB view for patients with mechanical gastrointestinal ileus. Methods: A prospective study was performed on dogs presented with acute vomiting. For all dogs, four radiographic views (ventrodorsal, right lateral, left lateral and left to right lateral HB in sternal recumbency) of the abdomen and abdominal ultrasound were obtained. If a mechanical ileus was detected ultrasonographically, an exploratory laparotomy or endoscopy was performed, otherwise medical treatment was elected. Results: A total of 22 patients were recruited, 11 diagnosed with mechanical ileus and 11 without mechanical ileus. Three blinded reviewers independently assessed the radiographs in three sets: vertical beam (VB) views, HB view alone, and a combination of both views. No statistical difference was found in the differentiation between patients with or without mechanical gastrointestinal ileus between HB view alone or added to VB views. Conclusion: This study suggests, the HB view in sternal recumbency may be an alternative for patients which are not stable enough to be positioned in lateral or ventrodorsal recumbency.https://www.openveterinaryjournal.com/OVJ-2021-12-232%20M.F.%20Tascon%20et%20al.pdfcanineradiographic projectiongastrointestinal obstructionforeign body
spellingShingle Maria Frau Tascon
Hock Gan Heng
Rosa Novellas Torroja
Yvonne Espada Gerlach
Carlo Anselmi
Horizontal and vertical beam radiographs in vomiting dogs to diagnose mechanical gastrointestinal ileus: A diagnostic imaging comparative study
Open Veterinary Journal
canine
radiographic projection
gastrointestinal obstruction
foreign body
title Horizontal and vertical beam radiographs in vomiting dogs to diagnose mechanical gastrointestinal ileus: A diagnostic imaging comparative study
title_full Horizontal and vertical beam radiographs in vomiting dogs to diagnose mechanical gastrointestinal ileus: A diagnostic imaging comparative study
title_fullStr Horizontal and vertical beam radiographs in vomiting dogs to diagnose mechanical gastrointestinal ileus: A diagnostic imaging comparative study
title_full_unstemmed Horizontal and vertical beam radiographs in vomiting dogs to diagnose mechanical gastrointestinal ileus: A diagnostic imaging comparative study
title_short Horizontal and vertical beam radiographs in vomiting dogs to diagnose mechanical gastrointestinal ileus: A diagnostic imaging comparative study
title_sort horizontal and vertical beam radiographs in vomiting dogs to diagnose mechanical gastrointestinal ileus a diagnostic imaging comparative study
topic canine
radiographic projection
gastrointestinal obstruction
foreign body
url https://www.openveterinaryjournal.com/OVJ-2021-12-232%20M.F.%20Tascon%20et%20al.pdf
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