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Esophagitis and esophageal strictures.

Rance K Sellon1, Michael D Willard

  • 1Department of Veterinary Clinical Sciences, Washington State University, PO Box 7060, Pullman, WA 99164-7060, USA. rsellon@vetmed.wsu.edu

The Veterinary Clinics of North America. Small Animal Practice
|October 14, 2003
PubMed
Summary

Esophagitis and esophageal strictures are common in pets. Diagnosis is straightforward, but optimal medical treatments for esophagitis require further study, while strictures are effectively managed with dilation.

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Area of Science:

  • Veterinary Medicine
  • Gastroenterology
  • Comparative Pathology

Background:

  • Esophagitis and esophageal strictures are significant causes of esophageal disease in domestic animals.
  • Clinical signs, history, and physical examination are crucial for initial suspicion of esophageal conditions.

Purpose of the Study:

  • To review the diagnosis and treatment of esophagitis and esophageal strictures in dogs and cats.
  • To highlight the current understanding and gaps in adjunctive medical therapies for esophagitis.
  • To outline treatment options for esophageal strictures.

Main Methods:

  • Review of clinical signs, diagnostic approaches, and treatment modalities for canine and feline esophagitis and strictures.
  • Discussion of the evidence base for adjunctive medical treatments.

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Main Results:

  • Diagnosis of esophagitis and strictures is generally simple once suspected.
  • Gastric acid suppression is beneficial for esophagitis, but efficacy of sucralfate and glucocorticoids remains unproven by clinical studies.
  • Balloon dilation and esophageal bougienage are effective treatments for esophageal strictures.

Conclusions:

  • Esophageal diseases like esophagitis and strictures are manageable in dogs and cats.
  • Further clinical studies are needed to establish optimal adjunctive medical treatments for esophagitis.
  • Esophageal strictures have a good prognosis with mechanical dilation and potential dietary modifications.