Bloccare la scarica
Casi clinici gastroenterici
Stop the Flow: Clinical GI Cases
Authors
Marks S. L.
University of California, Davis, School of Veterinary Medicine, Davis, California.
Summary
The inflammatory bowel diseases (IBDs)are the most common causes of chronic vomiting and diarrhea in dogs and cats. There is evidence to incriminate normal luminal bacteria or bacteria products in the initiation and perpetuation of IBD. The diagnosis is based on the presence of compatible signs (chronic diarrhea, vomiting, weight loss)and the exclusion of metabolic, infectious, neoplastic and obstructive pathologies of the gut. In course of IBD, gastrointestinal biopsies, evidence moderate to severe mucosal infiltration by lymphocytes and plasmacells and changes in mucosal architecture. Diagnostic approach includes: accurate history, minimum database, fecal tests, abdominal ultrasound, tests of assimilation, dietary trial, antibiotic trial and GI biopsies.
Dietary components have a potential role in the modulation of intestinal mucosal integrity and elimination diets have proved to be effective in case of IBD. Approximately 40-60% of dogs and cats with chronic enteropathies benefit from an elimination diets or hydrolised protein diets. Experience with these latter diets appear to be very effective adjunt to pharmacologic therapy and even as sole therapy. In addition, in the mangement of IBD, the use of fermentable fiber, avoiding excessive fat and administration of probiotis and prebiotics can be also recommended.
Keywords
chronic enteropathies, IBD, diagnosis, management
