Pancreatite : descrição de 7 casos clínicos
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Data
2020
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O pâncreas é uma glândula anexa do aparelho digestivo, que se encontra na região
cranial da cavidade abdominal, e apresenta função exócrina e endócrina. A porção exócrina
é responsável pela produção de enzimas digestivas, enquanto a porção endócrina é
responsável pela produção de hormonas, como a insulina, o glucagon e a somatostatina.
A pancreatite é uma doença que envolve a autodigestão e necrose do pâncreas,
seguida de inflamação. A pancreatite pode ser classificada como aguda ou crónica. Esta é
considerada a doença pancreática exócrina mais comum em cães e gatos.
O objetivo do presente trabalho foi descrever e caracterizar a pancreatite em cães
através da descrição de sete casos clínicos que foram acompanhados no Hospital Veterinário
da Bicuda, no período de estágio compreendido entre 3 de Setembro de 2018 e 31 de
Dezembro de 2018. Como critérios de inclusão encontram-se a alteração de pelos menos um
dos seguintes parâmetros: amilase, DGGR Lipase (SNAP - Elisa), Lipase Pancreática
Específica e imagem ecográfica.
Todos os animais apresentavam mais de 12 anos aquando do diagnóstico da
pancreatite. Os animais apresentavam sinais clínicos compatíveis com os descritos na
bibliografia, como vómito, diarreia, anorexia, perda de peso e dor à palpação abdominal.
Todos os animais foram submetidos a tratamento médico e apenas num dos casos não foi
atingido o sucesso terapêutico.
As principais limitações desse trabalho prendem-se com a informação clínica
insuficiente e com a indisponibilidade dos proprietários para a realização de exames
complementares completos.
The pancreas is a gland of the digestive system, which is placed in the cranial region of the abdominal cavity and has exocrine and endocrine functions. The exocrine portion is responsible for the production of digestive enzymes, while the endocrine portion is responsible for the production of hormones, such as insulin, glucagon and somatostatin. Pancreatitis is a disease that involves self-digestion and necrosis of the pancreas, followed by inflammation. Pancreatitis can be classified as acute or chronic. This is considered the most common exocrine pancreatic disease in dogs and cats. The present study aimed to describe and characterize pancreatitis in dogs through the description of seven clinical cases that were treated at the Veterinary Hospital of Bicuda during the internship period from September 3rd, 2018 to December 31st, 2018. The alteration of at least one of the following parameters was considered a inclusion criteria: amylase, DGGR Lipase (SNAP - Elisa), Specific Pancreatic Lipase and echographic image. All animals were over 12 years old at the time of pancreatitis diagnosis. The animals showed clinical signs compatible with those described in the bibliography, such as: vomiting, diarrhea, anorexia, weight loss and pain on abdominal palpation. All animals underwent medical treatment and only one was unsuccessful. The main limitations of this work are related to insufficient clinical information and the unavailability of owners to carry out complete complementary exams.
The pancreas is a gland of the digestive system, which is placed in the cranial region of the abdominal cavity and has exocrine and endocrine functions. The exocrine portion is responsible for the production of digestive enzymes, while the endocrine portion is responsible for the production of hormones, such as insulin, glucagon and somatostatin. Pancreatitis is a disease that involves self-digestion and necrosis of the pancreas, followed by inflammation. Pancreatitis can be classified as acute or chronic. This is considered the most common exocrine pancreatic disease in dogs and cats. The present study aimed to describe and characterize pancreatitis in dogs through the description of seven clinical cases that were treated at the Veterinary Hospital of Bicuda during the internship period from September 3rd, 2018 to December 31st, 2018. The alteration of at least one of the following parameters was considered a inclusion criteria: amylase, DGGR Lipase (SNAP - Elisa), Specific Pancreatic Lipase and echographic image. All animals were over 12 years old at the time of pancreatitis diagnosis. The animals showed clinical signs compatible with those described in the bibliography, such as: vomiting, diarrhea, anorexia, weight loss and pain on abdominal palpation. All animals underwent medical treatment and only one was unsuccessful. The main limitations of this work are related to insufficient clinical information and the unavailability of owners to carry out complete complementary exams.
Descrição
Orientação: Ana Faustino ; co-orientação: Simone Falcão
Palavras-chave
MESTRADO INTEGRADO EM MEDICINA VETERINÁRIA, VETERINÁRIA, PANCREATITE, INFLAMAÇÕES, PANCREAS, CASOS CLÍNICOS, VETERINARY MEDICINE, PANCREATITIS, INFLAMMATION, PANCREAS , CASE REPORTS