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| ==Treatment== | | ==Treatment== |
− | Mild oesophagitis:
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− | *withdraw oral food for 2-3 days and manage as an outpatient.
| + | The suspected cause (ie.Oesphagitis)should be corrected first. |
− | More severe oesophagitis:
| + | Oral feedings should be withdrawn in patients with severe stricture or oesophagitis. An oesophagostomy tube may be placed in these cases to provide nutritional support. |
− | *may need admitting to the hospital, Nil Per Os and animal may require enteral or parenteral nutritional support.
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− | Drugs:
| + | Medical therapies: |
− | *oral sucralfate suspension | + | *Oral sucralfate |
− | *gastric acid secretory inhibitors (e.g. ranitidine, omeprazole) can be useful in cases of gastro-oesophageal reflux | + | *Gastric acid secretory inhibitors (cimetidine, ranitidine, omeprazole) |
− | *broad spectrum antibiotics in animals with sever oesophagitis or aspiration pneumonia | + | *Anti-inflammatory doses of corticosteroids (prednisolone) to prevent fibrosis and re-stricture. |
− | *analgesics | + | |
| + | Surgical therapies: |
| + | *Dilation/widening of the stricture by ballooning or bougienage. |
| + | *Surgical resection is not recommended because iatrogenic strictures at the anastomotic site are possible. |
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| ==Prognosis== | | ==Prognosis== |
− | Mild oesophagitis has a good prognosis whereas ulcerative oesophagitis and animals suffering from aspiration pneumonia have a more guarded prognosis.
| + | The shorter the length of oesophagus involved and the quicker the corrective procedure is performed the better the prognosis. |
| + | Animals with large, mature strictures and those with continued oesophagitis have a guarded prognosis. Long term gastrostomy tubes may be required in some cases. |
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| ==References== | | ==References== |
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