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~(13)C-sodium acetate breath test for evaluation of gastric emptying times in dogs with gastric dilatation-volvulus

机译:〜(13)C-乙酸钠呼气试验评估胃扩张-肠扭转犬的胃排空时间

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Objective: The aim of the study was to assess solid phase gastric emptying via non-invasive ~(13)C-sodium acetate breath test in large breed dogs with or without gastric dilatation-volvulus (GDV). Material and methods: Dogs were recruited into one ofthe following groups: group 1 = healthy large breed dogs with no history of GDV, group 2 = dogs that underwent elective abdominal surgery for reasons unrelated to the gastrointestinal tract, and group 3 = dogs that underwent laparotomy and gastropexy tocorrect GDV. The dogs were fed a test meal containing 100 mg ~(13)C-sodium acetate (for group 2 and 3, this was < 48 hours post-operatively). Breath samples were obtained at baseline and every 30 minutes for 3 hours, then every hour for a total of 7 hours. 12CO/3C02 ratio was measured for each breath sample via non-dispersive infrared spectroscopy and 25%, 50% and 75% gastric emptying times were calculated and compared between groups. Results: Gastric emptying times were significantly prolonged in dogsundergoing surgery (group 2) compared to group 1 and 3. Also, gastric emptying times of dogs with GDV were significantly prolonged compared to controls, but not to the same extent as dogs in group 2. Conclusion and clinical significance: There was a significant effect of abdominal surgery on gastric emptying times. Surprisingly, dogs after GDV surgery and gastropexy had shorter gastric emptying times than dogs undergoing laparotomy for reasons other than GDV, but still prolonged compared to healthy controls. The reason for these differences requires further study.
机译:目的:本研究的目的是通过无创〜(13)C-乙酸钠呼气试验评估有或没有胃扩张-肠扭转(GDV)的大型犬的固相胃排空。材料和方法:将犬分为以下一组:第1组=没有GDV病史的健康大型犬,第2组=因与胃肠道无关的原因接受择期腹部手术的狗,第3组=接受过胃肠道手术的狗剖腹手术和胃切除术纠正GDV。给狗饲喂含100 mg〜(13)C乙酸钠的测试餐(对于第2组和第3组,手术后<48小时)。在基线时,每30分钟获取一次呼吸样本,持续3小时,然后每小时获取总计7个小时。通过非分散红外光谱法测量每个呼吸样本的12CO / 3CO2比率,并计算25%,50%和75%的胃排空时间,并在各组之间进行比较。结果:接受手术的犬(第2组)的胃排空时间比第1组和第3组显着延长。而且,与对照组相比,患有GDV的犬的胃排空时间显着延长,但幅度与第2组的犬相比不一样。结论和临床意义:腹部手术对胃排空时间有显着影响。出人意料的是,由于除GDV之外的原因,GDV手术和胃切除术后的狗的胃排空时间比进行剖腹手术的狗要短,但与健康对照相比仍更长。这些差异的原因需要进一步研究。

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