Incompetencia del esfínter cardial secundaria a anestesia general en canino gran danés. reporte de caso.

Abstract

The incompetence of the sphincter of the cardia is one of the most important causes in the presentation of esophagitis, this is characterized by presenting a muscular insufficiency of the lower esophageal sphincter, preventing it from contracting properly, and allowing the return of ingested food and stomach acids. into the esophagus and mouth. A case of a 7-year-old female Great Dane breed is presented. Due to history, episodes of recurrent regurgitation with the presence of foamy discharge and cough are reported. The physical assessment does not show alteration in physiological frequencies, reactive lymph nodes, absent cough reflex, pain on cervical or abdominal palpation. Definitive diagnosis was made through esophagoscopy and gastroscopy, in which dilation of the sphincter of the cardia was evidenced with erythema in the gastroesophageal portion and white frothy secretion. As a therapeutic option, symptomatological management and post-prandial positioning maneuvers were performed, a change in the diet was made in combination with proton pump inhibitors and cytoprotectors of the gastroesophageal mucosa. Additionally, during the course of the symptomatological assessment of the patient, Stanozolol base treatment was established, an anabolic agent that helps improve striated muscle tone, of which the esophagus and cardia sphincter are made up, obtaining a favorable evolution. Taking a good clinical history and implementing diagnostic aids were essential to obtain an accurate diagnosis and to be able to establish an effective treatment and achieve a favorable evolution in the patient.