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Peer-reviewed veterinary case report

Surgery helps Spaniels with swallowing problems but mild signs may

By Henderson, Claire et al.·Published in Journal of the American Veterinary Medical Association·2026·1Dick White Referrals Veterinary Specialists, United Kingdom·View original on PubMed

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Original publication title: Surgical management of cricopharyngeal achalasia in Spaniels results in favorable outcomes, with persistence or recurrence of mild signs documented in some dogs.

Species:
dog

Plain-English summary

A group of Spaniels, aged between 5 months and 5 years, were brought in because they were having trouble swallowing (dysphagia) and were coughing while eating or drinking. After diagnosing them with cricopharyngeal achalasia (a condition affecting swallowing), the veterinarians performed various surgical procedures to help. Most of the dogs showed improvement after surgery, with 11 experiencing complete resolution of their symptoms and 5 showing partial improvement. However, a few dogs did have some mild signs return after their treatment.

People also search for: Spaniel swallowing problems · dog coughing while eating · cricopharyngeal achalasia treatment for dogs

Abstract

OBJECTIVE: To describe clinical presentations, diagnostic findings, surgical treatments, and outcomes for Spaniels with cricopharyngeal achalasia (CPA). ANIMALS: 18 purebred or mixed-breed Spaniels treated surgically for CPA between 2003 and 2022. CLINICAL PRESENTATION: Owners most commonly reported dysphagia (n = 13) and coughing when eating or drinking (10). There were 10 males (9 sexually intact, 1 castrated) and 8 sexually intact females. Median age and weight were 6 months (range, 5 to 59 months) and 8.0 kg (range, 0.8 to 22.0 kg), respectively. Median age at onset of clinical signs was 3 months (range, 5 to 6 months; n = 15). Body condition score on a scale from 1 (emaciated) to 5 (obese) was documented for 17 dogs: 13 dogs had a body condition score of 3/5, and 4 had a score of 2/5. RESULTS: Fluoroscopic barium-swallow esophagography was performed for all dogs, and all had findings consistent with CPA. Dogs underwent cricopharyngeal myectomy (n = 10), cricopharyngeal myectomy and thyropharyngeal myotomy (5), cricopharyngeal myectomy and thyropharyngeal myectomy (2), or cricopharyngeal myotomy alone (1). Seventeen dogs survived to hospital discharge: 11 had immediate complete resolution of signs, 5 had partial resolution, and 1 had no clinical improvement. Clinical signs recurred in 3 dogs after initial cricopharyngeal myectomy. CLINICAL RELEVANCE: Differential diagnoses for young dysphagic dogs should include CPA. Our findings suggest that dogs undergoing surgical treatment for CPA have favorable outcomes; however, some dogs in this study had persistence or recurrence of mild clinical signs.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/41043475/