MA VetMB PhD DipECVIM-CA FRCVS, Emeritus Professor of Small Animal Internal Medicine, University of Bristol
Ed Hall is Emeritus Professor of Small Animal Internal Medicine at the University of Bristol and has recently retired from seeing referral GI cases at Langford Vets. A Cambridge graduate, he undertook postgraduate clinical and research training in Philadelphia and Liverpool, and is a Diplomate of the ECVIM-CA. He is a Past President of the BSAVA and, so far, is the only RCVS Recognised Specialist in Small Animal Medicine (Gastroenterology)
Speaker til følgende sessioner
09:00 - 09:40
Surgical conditions of the oesophagus
The anatomy of the oesophagus makes surgery challenging, and the majority of conditions are managed either medically or endoscopically. Specific conditions requiring surgery include removal of some foreign bodies, hiatal herniorraphy, cricopharyngeal achalasia, and tumour resection.
09:50 - 10:30
Surgical diseases of the stomach
The major indications for gastric surgery are selected foreign body removal, gastric dilatation-volvulus, and gastric perforation. Surgery may also be indicated after imaging or endoscopic examination of the gastric mucosa, and include resection of deep ulcers and tumours, pyloroplasty and gastropexy for gastric instability.
11:00 - 11:40
Ileus
Ileus is the functional inhibition of propulsive bowel activity. In the context of a surgical lecture, post-operative ileus and how to treat it is probably of most concern, but there are many other causes of ileus unrelated to surgery, with a range of inflammatory, ischaemic, metabolic, neurogenic and pharmacological/toxic causes.
09:00 - 09:40
Vomiting and its management
There are many causes of vomiting, but it is more helpful to understand them by their mechanism rather than listing them all. Similarly, treatment options are diverse due to the complex neural pathways and neurotransmitters involved.
09:50 - 10:30
Acute gastroenteritis
Whilst bacterial enteritis can occur, most cases of acute gastroenteritis have other causes and now, when antibiotic stewardship is of prime importance, alternative strategies for managing acute gastroenteritis are required.
13:40 - 14:20
GI bleeding
Gastrointestinal bleeding is usually grossly visible as haematemesis and/or melaena or haematochezia, but occult bleeding may only be recognized from a haematological exam. The diagnostic approach is first to rule out generalised bleeding then localise the problem to the stomach, small or large intestine before diagnosing the problem by imaging, endoscopy and/or surgery.
14:30 - 15:10
The value of biopsy in chronic enteropathies
Intestinal biopsy by endoscopy is a relatively quick and safe procedure, but in cases of chronic diarrhoea it may only be helpful in identifying lymphoma. Findings of chronic inflammation still require empirical diet trials, and pragmatically it is better to do the trials before biopsy unless there are significant criteria of concern.
15:50 - 16:30
Management of chronic enteropathies
The value of dietary manipulation in the management of chronic inflammatory enteropathies cannot be overstated. Adjunctive therapies include cobalamin supplementation, probiotics and perhaps faecal microbial transplantation. Immunosuppression is now considered a last resort in the management of chronic inflammatory enteropathies.
