[Ultrasonographic findings of the stomach in warmblood horses at different filling states].

IF 0.4 4区农林科学 Q4 VETERINARY SCIENCES

Tieraerztliche Praxis Ausgabe Grosstiere Nutztiere Pub Date : 2023-10-01 Epub Date: 2023-11-13 DOI:10.1055/a-2177-9036

Julia Daniel, Corinna Arnold, Karsten Winter, Doreen Scharner

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Abstract

Subject and aim: The aim of the study was to clarify to what extent the sonographic representation of the stomach changes depending on its filling state.

Material and methods: In a prospective controlled study, warmblood horses presented for gastroscopy were assessed sonographically. The examinations took place when the horses were fed normally (measurement 1), after 12 hours of food deprivation (measurement 2), after insufflation of air during gastroscopy (measurement 3) and after removal of air from the stomach at the end of the gastroscopy (measurement 4). The following objective parameters were recorded: Number of intercostal spaces (craniocaudal extension) and determination in which intercostal spaces the stomach could be visualized sonographically, maximum dorsal extension of the stomach, distance between skin and stomach wall.

Results: The median number of intercostal spaces in which the stomach could be visualized sonographically was 7.5 (IQR 3.75), 1.0 (IQR 1.0), 7.0 (IQR 2.0) and 2.0 (IQR 1.0) for measurements 1, 2, 3 (n=32) and 4 (n=15), respectively. The differences were significant between measurements 1 and 2 and between measurements 2 and 3. There was no significant difference between measurements 1 and 3. After 12 hours of food deprivation, the stomach size measured by the number of intercostal spaces visualizing the stomach was reduced by 75%. The maximum dorsal expansion of the stomach for measurements 1, 2, 3 (n=32) and 4 (n=15) was a median of 38 cm (IQR 15.25), 13 cm (IQR 6.75), 43 cm (IQR 7.00) and 21 cm (IQR 8.00), respectively. The differences were significant between measurements 1 and 2 and between 2 and 3. Concerning the distance between skin and stomach wall, the following medians were determined for measurements 1, 2, 3 (n=32) and 4 (n=15): 5.8 cm (IQR 2.27), 4.05 cm (IQR 3.05), 4.8 cm (IQR 1.48) and 5.9 cm (IQR 2.90). The only statistically significant difference was observed between measurements 1 and 3.

Conclusions and clinical relevance: The sonographic appearance of the stomach changes according to the state of filling. Parameters that are readily determined sonographically are the craniocaudal and maximum dorsal extension as well as the distance between the skin and the stomach wall.

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温血马胃不同充盈状态的超声表现。

主题和目的:本研究的目的是阐明胃的超声表现在多大程度上取决于其充盈状态的变化。材料和方法:在一项前瞻性对照研究中，温血马接受胃镜检查，超声检查评估。分别在正常喂食马(测量1)、剥夺食物12小时后(测量2)、胃镜检查时充气后(测量3)和胃镜检查结束时从胃中取出空气后(测量4)进行检查。记录以下客观参数:肋间隙的数量(颅侧延伸)和确定肋间隙在超声下可以显示，胃的最大背侧延伸，皮肤与胃壁之间的距离。结果:测量1、2、3 (n=32)和4 (n=15)时，超声显示胃肋间隙的中位数分别为7.5 (IQR 3.75)、1.0 (IQR 1.0)、7.0 (IQR 2.0)和2.0 (IQR 1.0)。测量1和2之间以及测量2和3之间的差异是显著的。测量1和测量3之间没有显著差异。剥夺食物12小时后，胃的大小通过肋间隙的数量来测量，胃的大小缩小了75%。测量1、2、3 (n=32)和4 (n=15)时的最大胃背扩张中位数分别为38 cm (IQR 15.25)、13 cm (IQR 6.75)、43 cm (IQR 7.00)和21 cm (IQR 8.00)。测量1和2之间以及测量2和3之间的差异是显著的。关于皮肤与胃壁之间的距离，测量1、2、3 (n=32)和4 (n=15)的中位数为:5.8 cm (IQR 2.27)、4.05 cm (IQR 3.05)、4.8 cm (IQR 1.48)和5.9 cm (IQR 2.90)。唯一有统计学意义的差异是在测量1和3之间观察到的。结论及临床意义:胃的超声表现随充盈状态的变化而变化。超声检查容易确定的参数是颅侧和最大背侧伸展以及皮肤和胃壁之间的距离。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Tieraerztliche Praxis Ausgabe Grosstiere Nutztiere Veterinary-Food Animals

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期刊介绍： Die Tierärztliche Praxis wendet sich mit ihren beiden Reihen als einzige veterinärmedizinische Fachzeitschrift explizit an den Großtier- bzw. Kleintierpraktiker und garantiert damit eine zielgruppengenaue Ansprache. Für den Spezialisten bietet sie Original- oder Übersichtsartikel zu neuen Therapie- und Operationsverfahren oder den Einsatz moderner bildgebender Verfahren. Der weniger spezialisierte Tierarzt oder Berufseinsteiger findet auf seinen Berufsalltag zugeschnittene praxisbezogene Beiträge in der Fortbildungsrubrik „Aus Studium und Praxis“. Mit dem hervorgehobenen „Fazit für die Praxis“ am Ende jedes Artikels verschafft sich auch der eilige Leser einen raschen Überblick über die wichtigsten Inhalte dieser modern konzipierten Fachzeitschrift mit den vielen hochwertigen, überwiegend farbigen Abbildungen. In jedem Heft ermöglicht ein ATF-anerkannter Fortbildungsartikel den Erwerb einer ATF-Stunde (Akademie für tierärztliche Fortbildung).