Emesis in dogs: a review

Journal of Small Animal Practice - Tập 51 Số 1 - Trang 4-22 - 2010
Clive Elwood1, Patrick Devauchelle2, Jonathan Elliott3, Valérie Freiche4, Alexander J. German5, M. Gualtieri6, Edward J. Hall7, E. den Hertog8, Reto Neiger9, Dominique Peeters10, Xavier Roura11, Karine Savary-Bataille12
1Davies Veterinary Specialists Manor Farm Business Park, Higham Gobion, Hitchin Hertfordshire SG5 3HR
2Centre de Cancérologie Vétérinaire, ENVA, 7 Avenue du Général du Galle, 94700 Maisons Alfort, France
3Royal Veterinary College, Royal College Street, London NW1 0TU
4Clinique vétérinaire Alliance, 8, boulevard Godard, 33300 Bordeaux, France
5Department of Veterinary Clinical Sciences, University of Liverpool, Leahurst Campus, Chester High Road, Neston, Wirral CH64 7TE
6Department of Veterinary Clinical Science, Section of Surgery, University of Milan, Via Celoria, 10, 20133 Milan, Italy
7Division of Companion Animal Studies; Department of Clinical Veterinary Science; University of Bristol; Langford House Langford Bristol BS40 5DU
8Dierenarts Specialisten Amsterdam, Weesperzijde 147, 1091 ET Amsterdam, The Netherlands
9Universität Giessen, Veterinämedizinsche Fakultät, Medizinische und Gerichtliche Veterinerklinik I, Franfurterstrasse 126, 35392 Giessen, Germany
10Université de Liège, Faculté de Médecine Vétérinaire, Clinique Medicale des Petits Animaux, Bat 44, Sart-Tilman, 4000 Liège, Belgium
11Servei de Medicina Interna, Hospital Clínic Veterinari, Facultat de Veterinària, Universitat Autònoma de Barcelona, Bellaterra 08193, Spain
12PFIZER Animal Health, Europe & AfME ahg, 23-25, avenue du Dr Lannelongue, 75668 Paris Cedex 14, France

Tóm tắt

Emesis is a common presenting sign in small animal practice. It requires a rational approach to management that is based upon a sound understanding of pathophysiology combined with logical decision making. This review, which assesses the weight of available evidence, outlines the physiology of the vomiting reflex, causes of emesis, the consequences of emesis and the approach to clinical management of the vomiting dog. The applicability of diagnostic testing modalities and the merit of traditional approaches to management, such as dietary changes, are discussed. The role and usefulness of both traditional and novel anti‐emetic drugs is examined, including in specific circumstances such as following cytotoxic drug treatment. The review also examines areas in which common clinical practice is not necessarily supported by objective evidence and, as such, highlights questions worthy of further clinical research.

Từ khóa


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