gastritis, gastric ulcer and gastric rupture in monogastric animals by ali sadiek

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Diseases of Digestive System By Dr. Ali H. Sadiek Prof. of Internal Veterinary Medicine and Clinical Laboratory Diagnosis Dept. of Animal Medicine Faculty of Veterinary Medicine Assiut University- Assiut, EGYPT E-mail: [email protected]

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Gastritis, gastric ulcer and Gastric Rupture in monogastric animals by Ali sadiek

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Page 1: Gastritis, gastric ulcer and Gastric Rupture in monogastric animals by Ali sadiek

Diseases of Digestive System

ByDr. Ali H. Sadiek

Prof. of Internal Veterinary Medicine and Clinical Laboratory Diagnosis

Dept. of Animal MedicineFaculty of Veterinary Medicine

Assiut University- Assiut, EGYPT

E-mail: [email protected]

Page 2: Gastritis, gastric ulcer and Gastric Rupture in monogastric animals by Ali sadiek

Inflamm. of stomach m. membranes causing abnormal. motility, vomition, anorexia & abd. Pain

It may be acute or chronic. It may be assoc. w. enteritis.

Page 3: Gastritis, gastric ulcer and Gastric Rupture in monogastric animals by Ali sadiek

Overfeeding causing Gast. dilatation. & gastritis.

Physical agent (Very Cold or very hot food).

Chemical agents (arsenic, lead, copper, mercury ).

Foreign bodies. Damaged, moldy, fermented feeds.

Causes of Gastritis

Page 4: Gastritis, gastric ulcer and Gastric Rupture in monogastric animals by Ali sadiek

Causes of gastritis Bacterial agents (oral necro-bacillosis,

Hrgc entero-toxem., colli-bacillosis & salmonell. Leptosp. & hepatitis (dog)

Viral agents (RP, MD). Fungal (Moniliasis). Parasites in cattle (Trich., ostertagia,

hemonchus, paramphist.) In horse: Larvae of Habronema

megastomum.

Page 5: Gastritis, gastric ulcer and Gastric Rupture in monogastric animals by Ali sadiek

Helicobacter

Page 6: Gastritis, gastric ulcer and Gastric Rupture in monogastric animals by Ali sadiek

Signs of acute gastritis:1-Vomition: mucoid, bloody in chemical or posoin.

gastritis. Periodical in allergic enteritis of dog. Expulsive in decomposed food

gastritis.

2-Reduced appetite & Excess. thirst.

3-Rank smell breath.

Page 7: Gastritis, gastric ulcer and Gastric Rupture in monogastric animals by Ali sadiek
Page 8: Gastritis, gastric ulcer and Gastric Rupture in monogastric animals by Ali sadiek

Signs of gastritis:

4-Diarrhea may assoc. gastroent. or soft pasty feces.

5- Abdominal pain.

6-Dehydration and alkalosis, emaciat.

In Chronic gastritis Signs are Less severe with depraved

appetite. Sporadic vomiting.

Page 9: Gastritis, gastric ulcer and Gastric Rupture in monogastric animals by Ali sadiek

Diagnosis of Gastritis History of over feeding or feeding abnormal

food.

Gastritis should be diff. from: Gast. dilatation, in which vomiting which is

more projectile. Esoph. Obst: vomitus is not acid or rancid. Intest. Obst.: Vomitus is alkaline and

containig bile acids.

Page 10: Gastritis, gastric ulcer and Gastric Rupture in monogastric animals by Ali sadiek

Treatment of Gastritis

Gast. Sedatives: Kaolin, pectin- charcoal. Bismuth sub nitrate. Mg. hydroxide or Mg. carbonate.

Gast. Astringents: Mix. of Tannic acid and Catechu. Gentamycin / sulphaguandin

Page 11: Gastritis, gastric ulcer and Gastric Rupture in monogastric animals by Ali sadiek

Treatment of Gastritis

Fluid and nutrition therapy: I.v. Ringer sol. (Na, K, Ca, Mg). Glutamic acid.

Anti-emitic (dog) Vit. B6 (5-60 g/ other day). or Diphenylhydramine Hcl

Evacuation of stomach in G. dilatation: laxative (Mineral oil)

Easily dig. Palatable food

Page 12: Gastritis, gastric ulcer and Gastric Rupture in monogastric animals by Ali sadiek

Gastric UlcersUlceration of G. mucosa means removal of some parts of the protective m. m of the stomach.

It is charct. by signs of abdom. pain, anorexia, other GIT motility disturb. (diarrhea, constiptaion).

It may cause gastric bleeding and by turn emaciation and anemia.

Page 13: Gastritis, gastric ulcer and Gastric Rupture in monogastric animals by Ali sadiek
Page 14: Gastritis, gastric ulcer and Gastric Rupture in monogastric animals by Ali sadiek

Causes of Gastric Ulcers Traumatic causes.

Long feeding of corrosive or chemical substances.

Sequllae to chr. Vagus indigestion.

Untreated Gastritis

Long standing parasitic inf. (Gastrophilus, Habronema megastoma)

Page 15: Gastritis, gastric ulcer and Gastric Rupture in monogastric animals by Ali sadiek

Other causes:

Stress of grain overfeeding.

Uremia.

Long standing Steroid therapy.

Hyperparathyroidism (25%).

Coexistent duodenal ulcer disease.

Page 16: Gastritis, gastric ulcer and Gastric Rupture in monogastric animals by Ali sadiek

Signs of Gastric ulcer

Signs of abdomen. pain, anorexia, diarrhea or constipation.

Mucoid vomiting in dog, cat and may bloody (Hematemesis).

Severe hemorrhagic anemia.

Black, pasty, soft feces (Melana).

Emaciation, lassitude and death.

Page 17: Gastritis, gastric ulcer and Gastric Rupture in monogastric animals by Ali sadiek
Page 18: Gastritis, gastric ulcer and Gastric Rupture in monogastric animals by Ali sadiek

Bleeding Gastric ulcerBleeding Gastric ulcer

Page 19: Gastritis, gastric ulcer and Gastric Rupture in monogastric animals by Ali sadiek

Diagnosis of G. UlcerHistory of abd. Pain, emesis or hematemesis.

Signs of anemia.

Leucocytosis and neutrophilia

Fecal analysis: Hemonchus, Gastrophillus, Habronema)

X- ray examination.

Endoscopy of gast. mucosa.

Page 20: Gastritis, gastric ulcer and Gastric Rupture in monogastric animals by Ali sadiek

Gastric mucosa (G. Ulcer)Gastric mucosa (G. Ulcer)

Page 21: Gastritis, gastric ulcer and Gastric Rupture in monogastric animals by Ali sadiek

Treatment of G. Ulcer.Prolonged use of protective and astringent drugs.

To stop bleeding inject Ca & Vit. K.

Inject hematincs or blood transfusion if necessary.

Easily digestible food or parentral feeding.

Surgical repair may be useful.

Page 22: Gastritis, gastric ulcer and Gastric Rupture in monogastric animals by Ali sadiek

HealingMost gastric ulcers clear completely in 6-8 weeks.

With healing, ulcer ▼ in size and is more likely to appear linear

Radiating folds become more prominent and extend to crater.

Between 50-90% of healed gastric ulcers produce visible scars on Double Contrast study

Page 23: Gastritis, gastric ulcer and Gastric Rupture in monogastric animals by Ali sadiek

Gastric ruptureOccurs in the great curvature of horse stomach due to sever g. dilatation.

Page 24: Gastritis, gastric ulcer and Gastric Rupture in monogastric animals by Ali sadiek

Gastric rupture

Causes:

Severe impaction and indigestion.

Strongly spoiled and ferment. Food.

Complication of G. ulcer.

Sever attach of spasmodic colic.

Page 25: Gastritis, gastric ulcer and Gastric Rupture in monogastric animals by Ali sadiek

Clinical findings.

Severe abdominal pain.

Followed by relief and vomition.

Profuse sweeting.

Dog sitting position.

Inclination of head

Hypothermia and death.

Page 26: Gastritis, gastric ulcer and Gastric Rupture in monogastric animals by Ali sadiek

Abdominal pain

Page 27: Gastritis, gastric ulcer and Gastric Rupture in monogastric animals by Ali sadiek

Abdominal pain