Köpeklerde osefageal ve gastrik lezyonların endoskopik muayenesi
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Dosyalar
Tarih
2002
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Selçuk Üniversitesi Sağlık Bilimleri Enstitüsü
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Bu çalışmada, köpeklerdeki özefageal ve gastrik anormalliklerin teşhisinde klinik, laboratuvar ve endoskopik muayenelerin yaran araştırılmıştır. Bu amaçla, 4 akut gastritis, 14 kronik gastritis, 5 gastrik ülserasyon olmak üzere toplam 23 adet üst gastrointestinal sistem semptomları gösteren ve 10 adet sağlıklı köpek kullanıldı. Farklı yaş (1-5 arası) ve cinsiyetlerdeki 33 adet kangal melezi sokak köpeğinin klinik muayeneleri, dışkı ve hematolojik kontrollerinin yanı sıra, endoskopik muayeneleri yapıldı. Endoskopik muayene sırasında tüm köpeklerden mukus ve biyopsi örnekleri alındı. Hematolojik muayeneler sonucunda eritrosit (RBC) ve hemoglobin (Hb) konsantrasyonları kronik gastritis grubunda kontrol grubuna göre önemli oranda (sırasıyla p<0,01, p<0,05) düşük olarak belirlendi. Dışkı muayenelerinde, köpeklerin 8'inde hafif şiddetli (kronik gastritis grubu), 5 'inde şiddetli pozitif (gastrik ülserasyon grubu) gizli kan tespit edildi. Mukus örnekleri spiral mikroorganizmalar yönünden incelendi, hasta köpeklerin % 60,9, sağlam köpeklerin de % 60'ında spiral mikroorganizma tespit edildi. Endoskopik ve histopatolojik bulgular karşılaştırıldığında, akut gastritis grubunda % 75, kronik gastritis grubunda % 78,5, gastrik ülserasyon grubunda % 80 ve kontrol grubunda % 70 uyum belirlendi. Özefageal ve gastrik anormalliklerin teşhisinde klinik, laboratuar, endoskopik ve histopatolojik muayenelerin birlikte değerlendirilmesinin yararlı olduğu belirlendi. Akut gastritiste endoskopik muayene bulgularının spesifik olmadığı, kronik gastritis ve ülserlerin endoskopik muayeneyle teşhis edilebileceği, ancak kronik gastritislerin tipi ve ülserlerin şiddetinin belirlenmesinde endoskopik bulguların mutlaka histopatolojik verilerle birlikte değerlendirilmesi gerektiğine karar verildi.
In this study, clinical, laboratorial and endoscopic examinations were investigated for their relative importance in the diagnosis of esophageal and gastric lesions in dogs. For this purpose, a total of 33 crossbred Kangal Dogs aging 1-5 years old were used as a material including 4 dogs with acute gastritis, 14 dogs with chronic gastritis, 5 dogs with gastric ulceration, and 10 healthy dogs. All dogs were examined with regard to clinical examination, complete blood cell counts, faeces (occult-blood) and endoscopic examinations. Mucus and biopsy samples were obtained during endoscopic examinations. After haemotological and blood gas analyses, red blood cell (RBC) and hemoglobin (Hb) parameters were found significantly lower (p<0,01, p<0,05 respectively) in the dogs with chronic gastritis compared to the control dogs. Occult-blood (hematemesis) was determined to mildly in 8 dogs with chronic gastritis, severely in 5 dogs with gastric ulcerations. Mucus samples were evaluated for existence of spiral microorganism and no significant difference was found between healthy and diseases dogs. When endoscopic and histopathological findings were compared, we found correlation of 75%, 78,5%, 80% and 70% in acute gastritis group, chronic gastritis group, gastric ulceric group and control group respectively. It was concluded that along with clinical, laboratorial, endoscopic and histopathological evaluation may be useful. This results indicated that endoscopic examinations findings were not spesific for acute gastritis, but chronic gastritis and ulcers can be diagnosed by endoscopic examination. However, endoscopic and histopatological analises should be evaluated together for determining type of chronic gastritis and severity of ulcers.
In this study, clinical, laboratorial and endoscopic examinations were investigated for their relative importance in the diagnosis of esophageal and gastric lesions in dogs. For this purpose, a total of 33 crossbred Kangal Dogs aging 1-5 years old were used as a material including 4 dogs with acute gastritis, 14 dogs with chronic gastritis, 5 dogs with gastric ulceration, and 10 healthy dogs. All dogs were examined with regard to clinical examination, complete blood cell counts, faeces (occult-blood) and endoscopic examinations. Mucus and biopsy samples were obtained during endoscopic examinations. After haemotological and blood gas analyses, red blood cell (RBC) and hemoglobin (Hb) parameters were found significantly lower (p<0,01, p<0,05 respectively) in the dogs with chronic gastritis compared to the control dogs. Occult-blood (hematemesis) was determined to mildly in 8 dogs with chronic gastritis, severely in 5 dogs with gastric ulcerations. Mucus samples were evaluated for existence of spiral microorganism and no significant difference was found between healthy and diseases dogs. When endoscopic and histopathological findings were compared, we found correlation of 75%, 78,5%, 80% and 70% in acute gastritis group, chronic gastritis group, gastric ulceric group and control group respectively. It was concluded that along with clinical, laboratorial, endoscopic and histopathological evaluation may be useful. This results indicated that endoscopic examinations findings were not spesific for acute gastritis, but chronic gastritis and ulcers can be diagnosed by endoscopic examination. However, endoscopic and histopatological analises should be evaluated together for determining type of chronic gastritis and severity of ulcers.
Açıklama
Anahtar Kelimeler
Köpekler, Osefageal lezyon, Esophageal lesion, Gastrik lezyon, Gastric lesion, Endoskopik muayene, Endoscopic examination
Kaynak
WoS Q Değeri
Scopus Q Değeri
Cilt
Sayı
Künye
Güzelbekteş, H. (2002). Köpeklerde osefageal ve gastrik lezyonların endoskopik muayenesi. Selçuk Üniversitesi, Yayımlanmış doktora tezi, Konya.
