Didem PEKMEZCİ, Ece KOLDAŞ, Aykut GRAM, Serhan Serhat AY, Nilgün GÜLTİKEN

Suspected Anesthesia Associated Esophageal Stricture Formation in a Cat

Bu olgu sunumunda ovaryohisterektomi yapılan ve izleyen iki hafta içerisinde iki kez daha anesteziye alınan bir yaşlı dişi kedide oluşan özefageal striktür açıklanmaktadır. Baryum kontrast özefagografide torasik özefagusun distalinde, mediastinum caudale'de 9-10. interkostal aralık düzeyinde özefageal striktür tespit edildi. Regurgitasyonu önlemek amacıyla hastanın yüksek bir zemin üzerine konan yumuşak gıdalarla beslenmesi önerildi. Bu uygulamayla üç gün içerisinde regurgitasyonun sona erdiği tespit edildi. Bir ay ve bir yıl sonra kontrol amaçlı alınan kontrast radyografide striktür tanısı konan bölgede anatomik yapının normal olduğu saptandı. Sonuç olarak, kedilerde iki hafta içinde tekrarlanan ksilazin ve ketamin HCl anestezisi özefageal striktür oluşumuna neden olabilir ve herhangi bir şirurjikal tedaviye başvurmadan önce yüksek zemin üzerinde yumuşak gıdalarla besleme ile iyileşebilir.

BİR KEDİDE ANESTEZİYE BAĞLI ÖZEFAGEAL STRİKTÜR

The case of esophageal stricture of a one-year-old queen that occurred after three anesthesia applications (one for ovariohysterectomy and the others for incisional wound complications) in two weeks was presented. Barium conBİR KEDİDE ANESTEZİYE BAĞLI ÖZEFAGEAL STRİKTÜR trast esophagography provided the diagnosis of esophageal stricture located at the distal of thoracic esophagus, at the level of intercostal distance of 9-10 in mediastinum caudale. Feeding with canned food placed on a higher surface was recommended in order to prevent regurgitation and it was observed that regurgitation recovered in three days. Contrast radiography taken a month and a year later showed that location diagnosed as stricture was anatomically normal. In conclusion, repeated anesthesia performed with xylazine HCl and ketamine HCl in two weeks may contribute in developing esophageal stricture in cats and feeding with soft food from a higher surface may be preferred before any surgical treatment.

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