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Peer-reviewed veterinary case report

Current concepts in feline pancreatitis.

Journal:
Topics in companion animal medicine
Year:
2008
Authors:
Xenoulis, Panagiotis G & Steiner, Jörg M
Affiliation:
Department of Small Animal Clinical Sciences · United States
Species:
cat

Plain-English summary

Pancreatitis, which is inflammation of the pancreas, is the most common problem affecting the pancreas in cats, but we still don’t fully understand why it happens. Cats with pancreatitis often show mild and vague symptoms, making it hard for veterinarians to suspect this condition. Diagnosing pancreatitis involves a thorough history, physical exam, and various tests, including blood tests and imaging, but some common blood tests aren’t helpful. Treatment mainly focuses on supportive care and adjusting the cat's diet, along with managing any other health issues that may arise. Overall, while we have some ways to diagnose and treat pancreatitis, it remains a challenging condition to manage effectively.

Abstract

Pancreatitis is the most common disorder of the exocrine pancreas in cats and is clinically important in this species. Despite that fact, the pathophysiology of feline pancreatitis is poorly understood, and its etiology remains unknown in the majority of cases. Arriving at a clinical diagnosis of feline pancreatitis remains challenging because cats with pancreatitis exhibit mild and nonspecific clinical signs, which account for the low level of suspicion for this disease by veterinary clinicians. In addition, sensitive and specific tests for the diagnosis of feline pancreatitis were, until recently, not available. Suspicion of pancreatitis should be based on a detailed history and physical examination, hematologic, clinicopathologic, and imaging findings. A diagnosis of feline pancreatitis should be confirmed by measurement of feline pancreatic lipase immunoreactivity, abdominal ultrasound, pancreatic cytology, and/or pancreatic histopathology. Serum amylase and lipase concentrations are of no value, whereas feline trypsin-like immunoreactivity concentrations are of limited value for the diagnosis of feline pancreatitis. Abdominal ultrasound may be useful but requires experience, and normal findings do not exclude pancreatitis. Management of pancreatitis is based on supportive therapy and dietary measures. Finally, management of complications and/or concurrent diseases is also crucial in cats with pancreatitis.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/19081552/