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Diagnosis and management of canine oesophageal disease and regurgitation

DISORDERS associated with regurgitation and failure of oesophageal function can be difficult to define and frustrating to treat. Aspiration pneumonia is a common and potentially life-threatening sequela and, for this and other reasons, every effort must be made to define the disorder and institute appropriate management as early as possible. Often, various treatments may need to be tried and tested to determine which is most suitable for an individual patient. This article provides guidance on diagnostic approaches and treatment options for the clinician presented with a dog with suspected oesophageal disease.

Clive Elwood graduated from Cambridge in 1989 and completed an internship and residency at Liverpool and London, respectively. Following a Wellcome Trust clinical research training scholarship, he obtained a Masters degree in immunology, and subsequently a PhD for studies on gluten-sensitive enteropathy in Irish setter dogs. He is currently head of medicine at Davies Veterinary Specialists in Hertfordshire, and is a diplomate of the American and European Colleges of Veterinary Internal Medicine. He is a member of the editorial board of the Journal of Small Animal Practice and chairman of the recently formed Small Animal Medicine Society.