RESUMO

Background: Green iguanas (Iguana iguana) are arboreal herbivorous species of lizards of the genus Iguana, native to Central and South America and Caribbean. Because demand for pet iguanas increased the incidence of problems related to sanitary handling and feeding of these animals also increased. Cases of atony caused by ingestion of foreign bodies, particularly of substratum can occur. This article aims to contribute to a better clarification of atonia in the Green Iguana that is caused by the ingestion of foreign bodies. Case: A 1-year-old female green iguana weighing 1,3 kg, was referred to the Veterinary Clinic Pet Fauna, Porto Alegre, RS, Brazil, on August 2012, with an apparent loss of appetite. The animal was apathetic, dehydrated, had a abdominal distension and low body score. Revealed an increase of aspartate aminotransferase (AST), monocytosis and decreased of mean corpuscular hemoglobin concentration (CAGH). Ozolaimus cirratus was found on parasitological examination of faecal sample. Ultrasound showed hyper echoic nodular structures in the region of the stomach and intestine and intestinal atony. Radiographs revealed radiopaque hyperdense areas in the topography of stomach and intestinal lumen, compatible with foreign body. The treatment fluid was set with 0.9% sodium chloride solution (50 mg/kg, SC, every 24 h), ceftazidime (20 mg/kg, IM, every 72 h)...

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RESUMO

Background: Green iguanas (Iguana iguana) are arboreal herbivorous species of lizards of the genus Iguana, native to Central and South America and Caribbean. Because demand for pet iguanas increased the incidence of problems related to sanitary handling and feeding of these animals also increased. Cases of atony caused by ingestion of foreign bodies, particularly of substratum can occur. This article aims to contribute to a better clarification of atonia in the Green Iguana that is caused by the ingestion of foreign bodies. Case: A 1-year-old female green iguana weighing 1,3 kg, was referred to the Veterinary Clinic Pet Fauna, Porto Alegre, RS, Brazil, on August 2012, with an apparent loss of appetite. The animal was apathetic, dehydrated, had a abdominal distension and low body score. Revealed an increase of aspartate aminotransferase (AST), monocytosis and decreased of mean corpuscular hemoglobin concentration (CAGH). Ozolaimus cirratus was found on parasitological examination of faecal sample. Ultrasound showed hyper echoic nodular structures in the region of the stomach and intestine and intestinal atony. Radiographs revealed radiopaque hyperdense areas in the topography of stomach and intestinal lumen, compatible with foreign body. The treatment fluid was set with 0.9% sodium chloride solution (50 mg/kg, SC, every 24 h), ceftazidime (20 mg/kg, IM, every 72 h)...(AU)

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RESUMO

A gastrostomia percutânea endoscópica é um procedimento cirúrgico que possibilita a manutenção deaporte nutricional a pacientes com impossibilidade ou inabilidade da utilização da via oral, para ingestãode alimentos. A colocação de sonda gástrica permite que o alimento seja introduzido no trato gastrintestinalimediatamente e por longo período sendo de vital importância para animais debilitados. A técnicaalém de ser rápida, de fácil execução por profissional treinado e causar mínima lesão tecidual aindapermite a liberdade de posicionamento do animal para a alimentação. As sondas gástricas apresentamdiferentes formatos e materiais, podendo ser utilizadas de acordo com o tempo de permanência e custodesejados. Apesar da simplicidade da técnica são necessários equipamento especializado, profissionaltreinado e anestesia geral, além de atenção a complicações como migração ou extração do tubo, extravasamentode conteúdo gástrico e infecção da ferida cirúrgica. Com o objetivo de analisar e discutir aviabilidade dessa técnica, e do material mais economicamente viável para a gastrostomia percutânea endoscópicana alimentação enteral, esse procedimento foi realizado em seis cadelas, adultas, com peso entre10 e 15 Kg e saudáveis, que permaneceram com a sonda gástrica por quatro semanas. Respeitando osprincípios da técnica, o procedimento foi de fácil e rápida execução, com total eficácia da sonda utilizadaao longo do período, tanto com relação a permitir o livre acesso à luz gástrica quanto à resistência de seumaterial. Diante dos resultados concluiu-se que a técnica de gastrostomia percutânea endoscópica utilizandosonda de látex tipo Pezzer, foi apropriada para manutenção de nutrição enteral de cães e gatos.(AU)

Percutaneous endoscopic gastrostomy is a surgical procedure that allows the maintenance of nutritionalsupport for patients with failure or inability to use the oral way for food intake. The gastric tube placementallows food to be introduced immediately and over a long period in the gastrointestinal tract beingof vital importance for debilitated animals. The technique in addition to being fast, easily performed bytrained professional and cause minimal tissue injury still allows freedom of placement of the animal forfood. The gastric tubes have different shapes and materials and can be used according to the length ofstay and cost desired. Despite the simplicity of the technique are needed specialized equipment, trainedpersonnel and general anesthesia, as well as attention to complications such as tube migration or extraction,leakage of gastric contents and wound infection. In order to analyze and discuss the feasibility ofthis technique, and the more economically feasible material for percutaneous endoscopic gastrostomy inenteral feeding, this procedure was performed in six dogs, adult, weighing between 10 and 15 kg and healthywere had remained with the gastric tube for four weeks. Respecting the principles of the technique,the procedure was quick and easy implementation, with total effectiveness of the probe used during the period, both with regard to allowing free access to gastric light and resistance of its material. Consideringthe results it was concluded that the technique of percutaneous endoscopic gastrostomy tube using latextype Pezzer, was appropriate for maintenance of enteral nutrition for dogs and cats.(AU)

Assuntos

RESUMO

A gastrostomia percutânea endoscópica é um procedimento cirúrgico que possibilita a manutenção deaporte nutricional a pacientes com impossibilidade ou inabilidade da utilização da via oral, para ingestãode alimentos. A colocação de sonda gástrica permite que o alimento seja introduzido no trato gastrintestinalimediatamente e por longo período sendo de vital importância para animais debilitados. A técnicaalém de ser rápida, de fácil execução por profissional treinado e causar mínima lesão tecidual aindapermite a liberdade de posicionamento do animal para a alimentação. As sondas gástricas apresentamdiferentes formatos e materiais, podendo ser utilizadas de acordo com o tempo de permanência e custodesejados. Apesar da simplicidade da técnica são necessários equipamento especializado, profissionaltreinado e anestesia geral, além de atenção a complicações como migração ou extração do tubo, extravasamentode conteúdo gástrico e infecção da ferida cirúrgica. Com o objetivo de analisar e discutir aviabilidade dessa técnica, e do material mais economicamente viável para a gastrostomia percutânea endoscópicana alimentação enteral, esse procedimento foi realizado em seis cadelas, adultas, com peso entre10 e 15 Kg e saudáveis, que permaneceram com a sonda gástrica por quatro semanas. Respeitando osprincípios da técnica, o procedimento foi de fácil e rápida execução, com total eficácia da sonda utilizadaao longo do período, tanto com relação a permitir o livre acesso à luz gástrica quanto à resistência de seumaterial. Diante dos resultados concluiu-se que a técnica de gastrostomia percutânea endoscópica utilizandosonda de látex tipo Pezzer, foi apropriada para manutenção de nutrição enteral de cães e gatos.

Percutaneous endoscopic gastrostomy is a surgical procedure that allows the maintenance of nutritionalsupport for patients with failure or inability to use the oral way for food intake. The gastric tube placementallows food to be introduced immediately and over a long period in the gastrointestinal tract beingof vital importance for debilitated animals. The technique in addition to being fast, easily performed bytrained professional and cause minimal tissue injury still allows freedom of placement of the animal forfood. The gastric tubes have different shapes and materials and can be used according to the length ofstay and cost desired. Despite the simplicity of the technique are needed specialized equipment, trainedpersonnel and general anesthesia, as well as attention to complications such as tube migration or extraction,leakage of gastric contents and wound infection. In order to analyze and discuss the feasibility ofthis technique, and the more economically feasible material for percutaneous endoscopic gastrostomy inenteral feeding, this procedure was performed in six dogs, adult, weighing between 10 and 15 kg and healthywere had remained with the gastric tube for four weeks. Respecting the principles of the technique,the procedure was quick and easy implementation, with total effectiveness of the probe used during the period, both with regard to allowing free access to gastric light and resistance of its material. Consideringthe results it was concluded that the technique of percutaneous endoscopic gastrostomy tube using latextype Pezzer, was appropriate for maintenance of enteral nutrition for dogs and cats.

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