Peer-reviewed veterinary case report
Gastroduodenal ulcers in cats found by endoscopy study
By Bottero, Enrico et al.·Published in Journal of feline medicine and surgery·2022·Endovet Professional Association, Italy·View original on PubMed →
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Original publication title: Gastroduodenal ulceration detected endoscopically in cats: retrospective study of 61 patients.
- Species:
- cat
Plain-English summary
A 9-year-old cat was brought in for vomiting and not eating well, which are common signs of stomach issues. An endoscopic exam revealed that the cat had gastroduodenal ulcers (GDUs) in its stomach and duodenum. While some of the ulcers were benign, others were found to be malignant, specifically high-grade lymphoma. The cat's age was a factor, as older cats had a higher risk of malignant ulcers. After diagnosis, the cat received appropriate treatment based on the findings, which can help manage the condition effectively.
People also search for: cat vomiting treatment · cat not eating well · gastroduodenal ulcers in cats · cat stomach problems · cat endoscopy results
Abstract
OBJECTIVES: The aim of this study was to describe the endoscopic appearance of gastroduodenal ulcers (GDUs), and to assess the clinical, ultrasonographic and histological data, as well as long-term follow-up, in cats. METHODS: The medical record databases of five veterinary endoscopists were evaluated between January 2016 and 2020, in a retrospective study. Cats with at least one gastric or duodenal ulcer detected by endoscopic examination were included. All the medical records of the selected cats were reviewed and information was collected regarding breed, age, sex, neuter status, medical history, clinical signs, and ultrasonographic, endoscopic and histological findings. The cats were evaluated at 6, 12 and 18 months. RESULTS: Sixty-one cats with a median age of 9.0 years (range 2.0-16.0) were included in the study. The most common complaints were vomiting (n = 55; 90%) and hyporexia (n = 40; 66%); haematemesis was reported in 12 (20%) cats. Endoscopy showed GDUs in the following locations: gastric body in 28 cats (46%), antropyloric area in 34 cats (56%), fundus in 13 cats (21%) and duodenum in eight cats (13%). A single GDU was found in 42 cats (69%) and multiple GDUs were seen in 19 cats (31%). Histopathological evaluation revealed benign lesions in 33 (54%) cats and malignant lesions in 28 (46%; 24 high-grade lymphoma, one low-grade lymphoma and three carcinoma). High-grade lymphoma was detected only in the stomach. Cats diagnosed with malignant GDUs (median 10.5, range 4-16) were significantly older than cats with benign lesions ( = 0.002). CONCLUSIONS AND RELEVANCE: GDUs are common and were detected in 5.1% of cats undergoing an upper gastrointestinal endoscopy. The risk of a malignant ulcer increases proportionally with each year of increasing age. GDU location, number and morphological appearance do not provide any indication of the nature of the ulcer; however, duodenal ulcers are frequently benign. Endoscopic examination facilitates the early and minimally invasive detection of GDUs in cats.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/35848606/