Surgical treatment of an oesophageal achalasia in a small breed dog

https://doi.org/10.17221/27/2019-VETMEDCitation:Bae S., Han C., Jang A., Jung H., Moon H., Lee J. (2019): Surgical treatment of an oesophageal achalasia in a small breed dog. Veterinarni Medicina, 64: 367-372.
download PDF

A 6-year-old, male Yorkshire Terrier dog presented with persistent regurgitation and severe weight loss. Based on the clinical signs, physical and other various diagnostic examinations, including fluoroscopy, were performed. Myasthenia gravis was ruled out through a serum acetylcholine receptor antibody titre measurement and a negative response to neostigmine bromide (0.02 mg/kg) within 4 hours of injection. The dog was diagnosed with idiopathic oesophageal achalasia. As a treatment, a modified Heller’s oesophagomyotomy was performed, and the dog recovered well with no signs of recurrence for 18 months.

References:
Birgisson S., Richter J.E. (2004): Achalasia: What’s New in Diagnosis and Treatment?. Digestive Diseases, 15, 1-27  https://doi.org/10.1159/000171617
 
Boria PA, Webster CRL, Berg J (2003): Esophageal achalasia and secondary megaesophagus in a dog. The Canadian Veterinary Journal 44, 232–234.
 
Clifford Donald H. (1974): ESOPHAGEAL ACHALASIA >ESOPHAGEAL CHALASIA AND PERSISTANT RIGHT AORTIC ARCH IN THE DOG AND CAT. Veterinary Surgery, 3, 40-43  https://doi.org/10.1111/j.1532-950X.1974.tb01534.x
 
Csendes A, Braghetto I, Henriquez A, Cortes C (1989): Late results of a prospective randomised study comparing forceful dilatation and oesophagomyotomy in patients with achalasia.. Gut, 30, 299-304  https://doi.org/10.1136/gut.30.3.299
 
Earlam R. J., Zollman P. E., Ellis F. H. (1967): Congenital oesophageal achalasia in the dog. Thorax, 22, 466-472  https://doi.org/10.1136/thx.22.5.466
 
ELLIS F. HENRY, KISER JOSEPH C., SCHLEGEL JERRY F., EARLAM RICHARD J., MCVEY JOHN L., OLSEN ARTHUR M. (1967): Esophagomyotomy For Esophageal Achalasia. Annals of Surgery, 166, 610-656  https://doi.org/10.1097/00000658-196710000-00012
 
Fracassi F., Tamborini A. (2011): Reversible megaoesophagus associated with primary hypothyroidism in a dog. Veterinary Record, 168, 329-329  https://doi.org/10.1136/vr.c6348
 
Kempf J., Beckmann K., Kook P.H. (2014): Achalasia-Like Disease with Esophageal Pressurization in a Myasthenic Dog. Journal of Veterinary Internal Medicine, 28, 661-665  https://doi.org/10.1111/jvim.12329
 
Kook PH (2013): Megaesophagus and other causes of esophageal dilation. In: North American Veterinary Conference, Orlando, U.S., 19 January 2013 – 23 January 2013.
 
Lawther W. A. (1970): DIAGNOSIS AND SURGICAL CORRECTION OF PERSISTENT RIGHT AORTIC ARCH AND OESOPHAGEAL ACHALASIA IN THE DOG AND CAT. Australian Veterinary Journal, 46, 326-329  https://doi.org/10.1111/j.1751-0813.1970.tb07912.x
 
Okamoto Eizo, Iwasaki Takeshi, Kakutani Tomio, Ueda Takashi (1967): Selective destruction of the myenteric plexus: Its relation to Hirschsprung's disease, achalasia of the esophagus and hypertrophic pyloric stenosis. Journal of Pediatric Surgery, 2, 444-454  https://doi.org/10.1016/S0022-3468(67)80086-1
 
Park Woosuk, Vaezi Michael F. (2005): Etiology and Pathogenesis of Achalasia: The Current Understanding. The American Journal of Gastroenterology, 100, 1404-1414  https://doi.org/10.1111/j.1572-0241.2005.41775.x
 
Pellegrini C, Wetter LA, Patti M, Leichter R, Mussan G, Mori T, Bernstein G, Way L (1992): Thoracoscopic esophagomyotomy. Initial experience with a new approach for the treatment of achalasia. Annals of Surgery 216, 291–299.
 
Reynolds JC, Parkman HP (1989): Achalasia. Gastroenterology Clinics of North America 18, 223–255.
 
Shimi S, Nathanson LK, Cuschieri A (1991): Laparoscopic cardiomyotomy for achalasia. Journal of the Royal College of Surgeons of Edinburgh 36, 152–154.
 
Vaezi MF, Richter JE (1998): Current therapies for achalasia: comparison and efficacy. Journal of Clinical Gastroenterology 27, 21–35.
 
Woltman Todd A., Pellegrini Carlos A., Oelschlager Brant K. (2005): Achalasia. Surgical Clinics of North America, 85, 483-493  https://doi.org/10.1016/j.suc.2005.01.002
 
download PDF

© 2019 Czech Academy of Agricultural Sciences