esofagica Obstruction

Of: Enrique Luján Fernandez
He stops: aflores@pulso.com
Date: Tuesday, 04 of January of 2000 23:38
Subject: Clinical case of endoscopia
Hello! Andrés: First of all Happy New Year and that you have passed it well next to your wanted beings, I have read your message of year end in the forum to which united this last month to me, really very rich in concepts, as for me I have learned a pile, although I have taken part only once. I write you by a consultation that arrived to me today from the Basque Country (it is well thus), where to the patient one has indicated him endoscopía (apparently) to extract a strange body and Mr. wants an opinion, as it is not my specialty wanted that your, if does not bother to you, you evacuated it, next I transcribe the mail, of all ways I will answer to him and I will say to him of the derivation of the consultation to a specialist. We are in contact with the enemy. A great hug.
Enrique.

Hello, I write from the Basque Country to comment this to them:
I have a dog chihuahua and we have seen him in a right x-ray before arriving at the stomach either an object or an inflammation, assumes that it is an object since apparently it has a partial obstruction because it eats, but yogures, cheese
fresh, and some solid but in migas and defecates well.
Its state is of little I animate and after eating it has you feel nauseous (to thinned much).
They have said to us that with a sounding with videocamera and clamps they can try to extract it to it but there is a problem.
Here it is not very normal this race nor this size of soundings.
That danger level has the operation? Hay other alternatives?
How long can hope to find instruments necessary?
Without but Luis takes leave.
The small dog is called pizka and had 8 months of age.
my direction: petas@ole.com

Hello Enrique:
This is the answer that I have sent to him to Luis of the Basque Country with respect to its consultation:
Hello Luis:
My colleague and friend the Dr Enrique Luján Fernandez me has reenviado his consultation on the problem of his puppy Picks.
Reason why he counts in his message is important that his veterinarian does the opportune managements to him, as rapidly as possible, to confirm the diagnosis of partial obstruction of esophagus by strange body by means of the derivation of his small dog to a clinic that has fibroscopio or videoendoscopio.
It is the best way to try to solve the problem to him.
The danger level derives not from the anesthesia and technique in himself but of the consistency and nature of the strange body lodged, since in agreement more time it passes more it will be debilitated and it damaged the mucosa, with the consequent risk of perforation, serious mediastinitis and other complications.
In order to extend the information to him he can both read articles of my responsibility that attached him: ?Pathology by Bodies Strange solved by Esogago-gastroscopia? http://www.aevedi.org/endoscopia/CE.htm and ?Diagnosis and treatment of esofágica pathology in dogs produced by clinical bones, revision and cases? http://www.aevedi.org/00019CV.htm If it has difficulty to enter Internet could send it to it, single must ask for it to me.
The other nonendoscópicas solutions are by means of conventional open surgery, either by torácica esofagostomía or to try it by means of gastroscopia, both of considerable greater risk and worse postoperating.
I hope to have been able to help and moan to him not to be more near you because I am in Malaga, to the other end of Spain.
A warm greeting
Andres J. Flores Ales
Veterinarian
aflores@vnet.es
http://www.aevedi.org/socios/ajfa
I am thankful to you that you remembered my for this subject like I thank for your congratulations to you.
The case is typical and interesting reason why if it does not seem to you bad it will place it in the Web of the Congress.
All we are learning with the Congress and I hope that in these months the participation is animated still more, by the way únete to the Veterinary community http://communities.msn.es/Veterinaria/homepage to be able to participate in chats http://communities.msn.es/Veterinaria/chat
A hug and a warm greeting
Andres J. Flores Ales

Of: raquel Fernandez
He stops: aflores@vnet.es
Date: Thursday, 06 of January of 2000 14:32
Subject: Pizka de Vitoria

Hello, I write to you from Vitoria for informarte which we have found a veterinarian in Bilbao where they tried to remove the bone will be made tomorrow, would thank for much to him that wrote an email to me giving its opinion about the x-rays.
Without but one takes leave kindly, Raquel
it will have the news to inform to him into the outcome.
Agur.
From: ?Clinical Veterinary medicine Benavente Jacinth? <jacintos9@interbook.net>
To: ?ANDRES FLORES? <AFLORES@VNET.ES>
Date: Wed, 5 Jan 2000 19:53: 53 +0100
I send rx to you of Pizka to see that it seems to you.

ORIGINAL + CARRY FAR CONTRAST	ORIGINAL + TEXTURE AND FILTER
ORIGINAL + NEGATIVE COLOR	ORIGINAL + NEGATIVE MONKEY
ORIGINAL + TEMP

 

This is the x-ray of the bone in the esophagus of Pizka, is really enormous for the size of the small dog, she can swallow liquids and papillas, seems us a little dangerous the surgical access to the thorax in this small dog, already we have removed from that location surgically some other bone successfully, but in this case we do not dare.
A greeting.
Jose Angel

Of: Andrés J. Flores Alés
He stops: rluis@euskalne.net
Date: Thursday, 6 of January of 2000 18:52
Subject: RE: Pizka de Vitoria

Hello Raquel and Luis.
A difficult case affluent that I trust that you they can solve in Bilbao with endoscopia.
It would thank for much you told the final outcome me, I hope that satisfactory.
A warm greeting
Andres J. Flores Ales
aflores@pulso.com
http://www.aevedi.org/socios/ajfa/endoscopia/index.htm

 

Of: Enrique Luján Fernandez
He stops: aflores@pulso.com
Envoy: Thursday, 06 of January of 2000 16:13
Subject: Answer case of endoscopia
Andrés: As always thanks for your quick answer to Mr. Luis, and it seems me Barbarian to share the case with the others, I see that you have incorporated something new as ?veterinary? already I am registering, I recognize that I am in debt with you because I have not sent anything to the Congress, I do not have excuses, only carelessness, viéndote that you are everything a ?hacedor? because you take care of your patients, the mail, to the family and in addition the page Web with the works that commands to you, and I what costs to make and to maintain the page, so I feel a little shamed being a little been left. We followed in contact. A great hug. Enrique.

Of: Andrés J. Flores Alés <aflores@pulso.com>
He stops: petas@ole.com <petas@ole.com>
Date: Friday, 07 of January of 2000 11:22
Subject: RE: Clinical case
Good morning Raquel and Luis:
I believe that today your small dog enters an operating room of Bilbao. Desire that has much luck and would thank for you that you indicated the veterinary colleagues to him that you they are going it to take care of that they have me to his disposition in case some doubts arise to them on the matter. Equally serious interesting for all that they took endoscópicas photographies of the obstruction and I made it arrive because very I am interested in being able to follow the case until its final resolution, hoping that this is of the most satisfactory form for all.
Andres J. Flores Ales
Veterinarian
http://www.aevedi.org/socios/ajfa

 

Andres J. Flores Ales
Of: Veterinary clinic Benavente Jacinth <jacintos9@interbook.net>
It stops: ANDRES FLORES <AFLORES@VNET.ES>
Date: Thursday, 13 of January of 2000 4:09
I am thankful that you answer to me, the case of Pizka this already solved were possible to be removed with endoscopio rigid, was not necessary to break the bone.
The small dog recovers very well.
Due to the time that passed, it had some ulcer already but this good.
Thank you very much by everything
Jose Angel

 

Of: Andrés J. Flores Alés
He stops: Enrique Luján Fernandez
Envoy: Friday, 14 of January of 2000 11:35
Subject: RE: Answer case of endoscopía
Enrique:
He is not nothing. It is a form like another anyone to learn and to interchange knowledge all together ones. But in addition this case has been very rewarding. Fíjate, after the crossing of post office between the proprietor, your and I, the proprietor telephoned the day to me of Kings because it tried to travel until Malaga with the dog so that it operated. I explained to him that he would be but advisable them to locate a colleague closest, so contacts with its veterinarian of the Basque Country, Jose Angel, of veterinary clinic Benavente, that had the amiability to send me the RX of Picks so that it thought and located to a colleague in Bilbao that works with endoscopía. The result: day 11 sent these words to me: ?I am thankful that you answer to me, the case of Pizka this already solved could be removed with endoscopio rigid, did not make lack break the bone. The small dog recovers very well. Due to the time that passed, it had some ulcer already but this good. Thank you very much by everything.?. In aim Enrique, is not a satisfaction that working in equipment 4 veterinarians from so distant places we give to total satisfaction to that proprietor and bran the life of its mascot. Internet and this Congress have made possible it. Let us hope that this so pretty example is repeated.
A warm greeting
Andres J. Flores Ales

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