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Fintan J. McEvoy MVB PhD Myra A. Forster-van Hijfte DVM Robert N. White BSc BVetMed 《Veterinary radiology & ultrasound》1998,39(3):234-237
This study reports data obtained from per-rectal 99m Tc-pertechnetate portal scintigraphy in normal cats. It examines the effects of chemical restraint and the methods employed in defining regions of interest (ROIs) on the shunt index derived from this data. Six normal cats were used for the study; all six were chemically restrained for imaging using propofol and later four of them were manually restrained for comparison. Portal blood flow was studied and the mean shunt index was found to be 5.9%± 3.9 when ROIs were operator defined and 9.2%± 4.4 when ROIs were defined using an isocontour program. In cats that were restrained using propofol and operator defined ROIs, the mean value for the time between detection of radioactivity in the liver and in the heart was 14 ± 1 seconds. 相似文献
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C. R. Lamb M. A. Forster-van Hijfte R. N. White F. J. McEvoy H. C. Rutgers 《The Journal of small animal practice》1996,37(5):205-209
Twenty-four cats with clinical and, or, clinico-pathological signs compatible with portosystemic shunting were examined prospectively using two-dimensional grey-scale, duplex and colourflow Doppler ultrasonography. Diagnosis of congenital portosystemic shunt was subsequently confirmed in 14 cats using operative mesenteric portography and surgery. Of the 14 affected cats, nine were purebred; eight were male and six female. The mean age at the time of diagnosis was nine months (range four to 27 months). Ultrasonographic evidence of a small liver was present in seven cats (50 per cent); visibility of intrahepatic portal vessels was reduced in three (21 per cent). An anomalous blood vessel was identified ultrasonographically in each cat; in 10 cats (71 per cent) the vessel was observed to originate from the portal vein and drain into the caudal vena cava. Abnormally variable portal blood flow waspresent in eight of the 10 cats in which it was measured. At surgery, six shunts were intrahepatic and eight extrahepatic; the ultrasonographic diagnosis of intra- versus extra-hepatic shunt was correct in 13 cats (93 per cent). No anomalous blood vessels or abnormalities affecting the portal vein were detected ultrasonographically in any of the 10 cats that did not have congenital portosystemic shunting. Hence, the accuracy of ultrasonography for diagnosis of congenital portosystemic shunting in this series was 100 per cent. 相似文献
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Intestinal permeability and function in dogs with small intestinal bacterial overgrowth 总被引：1，自引：0，他引：1
H. C. Rutgers R. M. Batt F. J. Proud S. H. Søorensen C. M. Elwood G. Petrie L. A. Matthewman M. A. Forster-van Hijfte A. Boswood M. Entwistle R. H. Fensome 《The Journal of small animal practice》1996,37(9):428-434
Small intestinal bacterial overgrowth (SIBO) has been reported to occur commonly in dogs with signs of chronic intestinal disease. There are usually few intestinal histological changes, and it is uncertain to what extent bacteria cause mucosal damage. The aim of this study was to apply a differential sugar absorption test for intestinal permeability and function to the objective assessment of intestinal damage in dogs with SIBO. Studies were performed on 63 dogs with signs of chronic small and, or, large bowel disease, in which SIBO (greater than 105 total or greater than 104 anaerobic colony forming units/ml) was diagnosed by quantitative culture of duodenal juice obtained endoscopically. None of the dogs had evidence of intestinal pathogens, parasites, systemic disease or pancreatic insufficiency. Differential sugar absorption was performed by determining the ratios of urinary recoveries of lactulose/rhamnose (L/R ratio, which reflects permeability) and D-xylose/3-O-methylglucose (X/G ratio, which reflects intestinal absorptive function) following oral administration. Dogs with SIBO comprised 28 different breeds, including 18 German shepherd dogs. SIBO was aerobic in 18/63 dogs (29 per cent), and anaerobic in 45/63 (71 per cent). Histological examination of duode-nal biopsies showed no abnormalities in 75 per cent, and mild to moderate lymphocytic infiltrates in 25 per cent of the dogs. The L/R ratio was increased (greater than 0–12) in 52 per cent, and the X/G ratio reduced (less than 0–60) in 33 per cent of the dogs. Differential sugar absorption was repeated in 11 dogs after their four weeks of oral antibiotic therapy. The L/R ratio declined in all 11 dogs (mean ± SD pre: 0–24 ± 0–14; post: 0–16 ± 0–11; P<0–05), but changes in the X/G ratio were more variable. These findings show that SIBO is commonly associated with mucosal damage, not detected on histological examination of intestinal biopsies, and that changes in intestinal permeability following oral antibiotics may be used to monitor response to treatment. 相似文献
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Comparison of the bacterial flora of the duodenum in healthy cats and cats with signs of gastrointestinal tract disease 总被引：1，自引：0，他引：1
Johnston KL Swift NC Forster-van Hijfte M Rutgers HC Lamport A Ballèvre O Batt RM 《Journal of the American Veterinary Medical Association》2001,218(1):48-51
OBJECTIVE: To determine whether a colony environment predisposes healthy cats to high bacterial counts, including counts of obligate anaerobes, in the duodenum and whether increased numbers of bacteria could be found in the duodenum of cats with signs of chronic gastrointestinal tract disease. DESIGN: Prospective study. ANIMALS: 20 healthy control cats (10 from a colony environment and 10 pet cats) and 19 cats with a history of chronic gastrointestinal tract disease. PROCEDURE: Undiluted duodenal fluid was quantitatively and qualitatively assessed by bacteriologic culture under aerobic and anaerobic conditions. Serum concentrations of cobalamin and folate were also measured. RESULTS: Significant differences were not detected in the numbers of bacteria found in the duodenum of cats housed in a colony environment, compared with pet cats fed an identical diet prior to sampling. All healthy cats were, therefore, combined into 1 control group. Compared with healthy cats, cats with clinical signs of gastrointestinal tract disease had significantly lower counts of microaerophilic bacteria, whereas total, anaerobic, and aerobic bacterial counts were not significantly different. None of the cats with disease had total bacterial counts higher than expected from the range established in the control cats. Differences were not detected in regard to serum folate or cobalamin concentrations between diseased and healthy cats. CONCLUSIONS AND CLINICAL RELEVANCE: These findings indicated that healthy colony cats and pet cats have high numbers of bacteria in the duodenum, including high numbers of obligate anaerobes. Our findings also suggest that bacterial overgrowth in the small intestine is not a common clinical syndrome in cats with chronic nonobstructive gastrointestinal tract disease. 相似文献
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Christopher R. Lamb MA VetMB Robert H. WRIGLEY BVSc MS DVR Kenneth W. Simpson BVM&S PhD Myra Forster -van Hijfte DVM Oliver A. Garden BSc BVetMed Gibiol J. Brian A. Smyth MVB MSc PhD H. Carolien Rutgers DVM MS Robert N. White BSc BVetMed 《Veterinary radiology & ultrasound》1996,37(2):121-129
Ante mortem diagnosis of portal vein thrombosis was determined ultrasonographically in four dogs. In each dog the thrombus was visible in two-dimensional, grey-scale images of the portal vein obtained through a right intercostal window. Duplex-Doppler measurements and color-Doppler images provided information about the effects of thrombosis on portal blood flow. Reduced portal blood flow compatible with portal hypertension was detected in three dogs. A hypercoagulable state was probably involved in the pathogenesis of portal vein thrombosis in two dogs, one with pancreatitis and gastrointestinal blood loss and another with protein-losing nephropathy and probable immune-mediated anemia. The third dog had chronic ehrlichiosis; thrombosis was probably secondary to vasculitis. The remaining dog had thrombosis secondary to invasion of the portal vein by a recurrent duodenal neoplasm. This dog was euthanized because the tumor was considered inoperable. The dog with pancreatitis developed acute portal hypertension due to obstruction of the portal vein by the thrombus and was euthanized. The dogs with protein-losing nephropathy and ehrlichiosis were treated medically and recovered. Although portal vein thrombosis is uncommon, this complication should be considered in dogs with a variety of abdominal or systemic disorders. Ultrasonography is a practical method for diagnosis of portal vein thrombosis and detection of the underlying cause. 相似文献
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Forster-van Hijfte MA Groth AM Emmerson TD 《Journal of Feline Medicine and Surgery》2011,13(6):451-453
A 7-year-old, entire female, domestic shorthair cat presented with recurrent upper respiratory tract problems. Infectious otitis media caused expansion of the middle ear which ultimately resulted in complete obstruction of the nasopharynx. A ventral bulla osteotomy was successful in relieving the clinical signs. 相似文献
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M. A. Forster-van Hijfte F. J. McEvoy R. N. White C. R. Lamb H. C. Rutgers 《The Journal of small animal practice》1996,37(1):7-11
Five cats with a congenital portosystemic shunt (CPSS) were examined using transcolonic portal scintigraphy before and after surgical ligation of the shunting vessel. The mean shunt index before surgery was 52 per cent (range 45 to 61 per cent). Repeat portal scintigraphy, six to eight weeks after surgery, indicated a significant reduction in shunt index (mean 13 per cent, range 5 to 25 per cent) in four cats. In one of these cats a marked reduction in the shunt index, as determined by scintigraphy, preceded normal fasting blood ammonia. In the fifth cat there was no significant change in the shunt index, fasting serum bile acids and blood ammonia six months after surgery, although its clinical signs of hepatic encephalopathy had improved. Portal scintigraphy is useful in the diagnosis of CPSS and enables a quantitative assessment of the effects of surgery and may be a more accurate indicator of the degree of shunting after surgery than blood ammonia and serum bile acids. 相似文献
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