Congenital Esophageal Hiatal Hernia in the Chinese Shar‐Pei Dog

Mary Beth Callan, Robert J. Washabau, H. Mark Saunders, Larry Kerr, Caroline Prymak, David Holt

Research output: Contribution to journalArticle

47 Citations (Scopus)

Abstract

Esophageal hiatal hernia was diagnosed in 11 young Chinese Shar‐Pei dogs between October 1985 and July 1991. The dogs ranged in age from 2 to 11 months and included 3 females and 8 males. The most common clinical signs were regurgitation, vomiting, and hypersalivation. Physical examination was normal in 6 dogs; abnormal physical examination findings in the other 5 dogs included fever, dehydration, hypersalivation, and pulmonary wheezes and crackles. Laboratory evaluation was significant only for neutrophilia in 5 dogs. A diagnosis of hiatal hernia was made on the basis of survey thoracic radio‐graphic and/or barium esophagram findings of displacement of the esophagogastric junction and stomach into the thoracic cavity; the diagnosis was confirmed by surgery in 9 dogs and at necropsy in 2 dogs. Megaesophagus (n = 7), gastroesophageal reflux (n = 4), and esophageal hypomotility (n = 1) were additional findings in some dogs. Aspiration pneumonia was diagnosed in 7 of the dogs. Medical therapies formulated for the therapy of presumed reflux esophagitis generally failed to resolve the clinical signs associated with the hiatal hernia. Hiatal herniae were surgically repaired in 9 of the Shar‐Peis by various combinations of diaphragmatic crural apposition, fixation of the esophagus to the diaphragmatic crus (esophagopexy), and left fundic tube gastropexy. Eight of the animals survived surgery, six of which have been asymptomatic since surgery (19 to 36 months). The megaesophagus, esophageal hypomotility, and bronchopneumonia resolved in all of these dogs. (Journal of Veterinary Internal Medicine 1993; 7:210–215.

Original languageEnglish (US)
Pages (from-to)210-215
Number of pages6
JournalJournal of veterinary internal medicine
Volume7
Issue number4
DOIs
StatePublished - Jan 1 1993

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hiatal hernia
Hiatal Hernia
Dogs
dogs
Sialorrhea
megaesophagus
Esophageal Achalasia
surgery
clinical examination
Physical Examination
Gastropexy
esophageal sphincter
esophageal diseases
Thoracic Cavity
thoracic cavity
gastroesophageal reflux
Aspiration Pneumonia
Bronchopneumonia
Esophagogastric Junction
Peptic Esophagitis

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Congenital Esophageal Hiatal Hernia in the Chinese Shar‐Pei Dog. / Callan, Mary Beth; Washabau, Robert J.; Saunders, H. Mark; Kerr, Larry; Prymak, Caroline; Holt, David.

In: Journal of veterinary internal medicine, Vol. 7, No. 4, 01.01.1993, p. 210-215.

Research output: Contribution to journalArticle

Callan, Mary Beth ; Washabau, Robert J. ; Saunders, H. Mark ; Kerr, Larry ; Prymak, Caroline ; Holt, David. / Congenital Esophageal Hiatal Hernia in the Chinese Shar‐Pei Dog. In: Journal of veterinary internal medicine. 1993 ; Vol. 7, No. 4. pp. 210-215.
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