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  • Author or Editor: Adrien Aertsens x
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Abstract

OBJECTIVE

To describe a retroesophagoscopic approach (ROSA) to nasopharyngoscopy and compare it with the conventional retroflexed endoscopic approach (REA).

ANIMALS

36 feline cadavers and 2 client-owned cats with nasopharyngeal disorders.

PROCEDURES

36 veterinarians participated in the experimental portion of the study involving feline cadavers. Each veterinarian performed the ROSA and REA to nasopharyngoscopy on a feline cadaver once, attempting to identify and biopsy 2 landmarks (soft palate and choanae) with each approach while time was recorded. Numeric scales were used to measure perceived ease of use and image quality for both techniques. Data were compared between approaches by an independent statistician. The ROSA approach was also used as part of the diagnostic workup for the 2 client-owned cats.

RESULTS

35 of the 36 (97%) veterinarians were able to identify and biopsy both landmarks using the ROSA, whereas 21 (58%) veterinarians were able to visualize both landmarks using the REA and 19 (53%) successfully biopsied the landmarks. Image quality for the soft palate was scored higher with the ROSA (median score, 7.5/10) than with the REA (4.5/10). The ROSA was fast and easy to perform. This approach was also successfully performed in the 2 client-owned cats with nasopharyngeal disorders, with no complications reported.

CONCLUSIONS AND CLINICAL RELEVANCE

The ROSA was found to be a fast, effective, and easy alternative endoscopic technique for assessment of the nasopharynx in cats. This approach may allow use of various instruments that could be relevant for interventional procedures. However, the ROSA was also invasive and should be considered for diagnostic and therapeutic purposes for selected indications only when REA is unsuccessful. (Am J Vet Res 2021;82:752–759)

Full access
in American Journal of Veterinary Research

Abstract

OBJECTIVE

To compare the results of abdominal CT with exploratory laparotomy in the dog.

ANIMALS

100 client-owned dogs from 1 academic institution.

METHODS

Medical records were searched for dogs that had undergone a preoperative abdominal CT scan read by a board-certified veterinary radiologist followed by an exploratory laparotomy. CT and surgical reports were compared.

RESULTS

The overall agreement between abdominal CT scan and exploratory laparotomy in all cases was 97%. Overall, there was no evidence that proportion agreement differed on the basis of body condition score, time interval between CT and surgery, or oncologic versus nononcologic disease.

CLINICAL RELEVANCE

Abdominal CT scan read by a board-certified diplomate is a sensitive presurgical diagnostic tool for surgical abdominal disease in the dog. When performing a specific abdominal surgery, it is acceptable for the surgeon to fully explore the abdomen or forego it for a smaller approach to the organ of interest if an abdominal CT was performed prior.

Free access
in Journal of the American Veterinary Medical Association