鸵鸟颈部次全食管切除术及吻合术。

IF 0.6 4区 农林科学 Q3 VETERINARY SCIENCES
Bruna Zafalon-Silva, Priscila Medina Costa, Victória Regina Queiroz Schmidt, Carlos Afonso C Beck, Marcelo Meller Alievi
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引用次数: 0

摘要

一只成年雌性圈养鸵鸟(Struthio camelus domesticus)因2周的嗜睡史和颈部近端肿块效应被转诊至兽医教学医院。体格检查发现颈部食管中部一瘘口,周围有失活坏死组织;发现饲料从现场泄漏。颈椎x线检查发现食管狭窄,前路扩张是由于食物堆积引起的。经支持治疗48小时后,患者整体状况好转,可行部分食管切除术及端到端吻合术切除病变组织。术后处理包括禁食24小时,随后给予用市售鸵鸟饲料配制的液体饲养配方,并通过喂食管给予15天。术后17天,使用柔性内窥镜进行食管镜检查,确认手术部位愈合。27天后出院,随访180天无并发症记录。颈段食管部分切除术端到端吻合术配合术前和术后处理,成功治疗了一只圈养鸵鸟的瘘性食管狭窄,患者完全恢复,无手术并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Subtotal Cervical Esophagectomy and Anastomosis in an Ostrich (Struthio camelus domesticus).

An adult, female, captive ostrich (Struthio camelus domesticus) was referred to a veterinary teaching hospital for a 2-week history of lethargy and a mass effect in the proximal cervical region. Physical examination revealed a fistula in the middle cervical esophagus surrounded by devitalized and necrotic tissue; feed material was found leaking from the site. Cervical radiography identified an esophageal stricture with anterior dilation due to the accumulation of feed. After receiving supportive care for 48 hours, the patient's overall status improved, allowing partial esophagectomy and resection of the affected tissues with end-to-end anastomosis. Postoperative management included fasting for 24 hours, followed by the administration of a liquid hand-rearing formula prepared with commercially available ostrich feed and administered via a feeding tube for 15 days. Proper healing of the surgical site was confirmed by esophagoscopy using a flexible endoscope 17 days after surgery. The ostrich was discharged after 27 days, with no complications recorded within the 180 days of the follow-up period. Partial cervical esophagectomy with end-to-end anastomosis along with pre- and postoperative management provided a successful outcome for the treatment of a fistulated esophageal stricture in a captive ostrich, resulting in full recovery without surgical complications.

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来源期刊
Journal of Avian Medicine and Surgery
Journal of Avian Medicine and Surgery 农林科学-兽医学
CiteScore
0.90
自引率
0.00%
发文量
52
审稿时长
>36 weeks
期刊介绍: The Journal of Avian Medicine and Surgery is an international journal of the medicine and surgery of both captive and wild birds. Published materials include scientific articles, case reports, editorials, abstracts, new research, and book reviews.
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