Difference between revisions of "Category:Oesophagus - Pathology"

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==Traumatic Pathology==
 
==Traumatic Pathology==
===Impaction===
+
===[[Impaction of the Oesophagus]]===
{| style="color:darkblue;background-color:#ffffcc;" cellpadding="10" cellspacing="0" border="1"
 
|'''Upper Block'''
 
|'''Lower Block'''
 
|-
 
| Acute vomiting
 
| Gradual intestinal distention
 
|-
 
| Dehydration
 
| Mucosal destruction
 
|-
 
| Alkalosis
 
| Toxaemia
 
|-
 
| Pre-renal azotaemia
 
| Peritonitis
 
|}
 
 
 
 
 
*Commonly in cattle, horses and dogs.
 
*The most common sites of obstruction are the '''thoracic inlet''', '''the base of the heart''', and the '''hiatus oesophagus''' of the diaphragm, i.e.: the narrowest points.
 
 
 
====Clinical Signs====
 
====Horse====
 
*With foods that expand in [[Oesophagus - Anatomy & Physiology|oesophagus]] such as haylage etc.
 
*Also seen with whole apples. 
 
 
 
====Cattle====
 
[[Image:Bovimpaction.gif|right|thumb|125px|<small><center>Impaction of a bovine oesophagus (Courtesy of Alun Williams (RVC))</center></small>]]
 
*May eat a spherical object that obstructs the [[Oesophagus - Anatomy & Physiology|oesophagus]] mostly in anterior 1/3rd of [[Oesophagus - Anatomy & Physiology|oesophagus]] and can often be palpated in live animal.
 
*Potatoes can be a cheap source of feed and if fed whole can become stuck in [[Oesophagus - Anatomy & Physiology|oesophagus]]. 
 
*If obstruction occurs further down can be difficult to diagnose and remove. 
 
*Cattle develop bloat when [[Oesophagus - Anatomy & Physiology|oesophagus]] obstructed.
 
*Apples fairly easily to dislodge.
 
 
 
====Dog====
 
*Usually with small bones
 
*Animals that feel protective of feed may gulp food down quickly, particularly if given small chops / knuckle bones.
 
*Knobbly shape may make bone lodge in [[Oesophagus - Anatomy & Physiology|oesophagus]], particularly just anterior to heart. 
 
*Very difficult to dislodge (because of shape).
 
*Pressure necrosis occurs very quickly around it and can erode through [[Oesophagus - Anatomy & Physiology|oesophagus]] within about 24 hours. 
 
*Small bone may also lodge in [[Duodenum - Anatomy & Physiology|duodenum]] if they pass through the [[Forestomach - Anatomy & Physiology|stomach]].
 
  
 
===Rupture===
 
===Rupture===

Revision as of 11:35, 28 May 2010



Introduction

  • The oesophagus is the part of alimentary tract that tends to go wrong least often.


  • Failure of oesophageal function results in obstruction and in failure of ingesta to pass to the stomach.
  • In the bovine there may also be failure of eructation and tympany may develop.

Defence Mechanisms

  • The oesophagus has no serosa and is covered by the fibrous tissue of the neck and mediastinum, from which it derives its blood supply.
  • Consequently, infection spreads easily and healing is more difficult.
  • Oesophageal disease is therefore difficult to treat and is consequently very serious.



Upper Alimentary Tract Carcinoma Complex

Squamous Cell Carcinoma of Other Species

Traumatic Pathology

Impaction of the Oesophagus

Rupture

  • Perforation may occur with sharp foreign bodies. This may lead to cellulitis or pleurisy and other complications.
  • Rupture of the oesophagus admits pathogenic organisms to the mediastinum and fascial planes of the neck. Both are composed of loose connective tissue and communicate with each other.
  • Infection spreads rapidly as a cellulitis, aided possibly by peristalsis and pulsation of the carotid arteries, and soon leads to pleurisy.
  • Rupture is almost always fatal.


Learning Tools

Oesophagus Flashcards