Diseases of cattle, sheep, goats and swineMoussu, G. (Gustave)
Science
Diseases of cattle, sheep, goats and swine
Moussu, G. (Gustave)
Veterinary medicine
=Lesions.= In simple strictures the lesions are confined to the
development in the depths of the mucous membrane and in the muscular
layers of inflammatory tissue, which becomes denser with lapse of time.
This alters the character of the walls and the structure of the tissues,
and causes them to lose their elasticity. After extensive ulceration the
tissue of the cicatrix contracts and hardens to a very varying degree.
=Symptoms.= The apparent symptoms are very clearly marked; the appetite
is good, and the animal masticates as usual, but in the act of
deglutition is seen to extend the head on the neck, and to make efforts
to swallow, which prove unavailing when the contraction is too marked. A
reflex antiperistaltic movement often causes the substances ingested to
be at once rejected. These violent efforts, however, in time provoke
dilatation above the stricture. A quantity of food accumulates in this
dilatation, and the symptom so characteristic of œsophageal stricture
then appears—viz., regular regurgitation. The second constant symptom
associated with compression or obstruction of the œsophagus is
tympanites after feeding, however trifling may be the amount swallowed.
Rumination is suspended, and even eructation of gas is difficult.
Finally, the characteristic sign of stricture is noted on passing the
probang, which reveals the existence of the condition, indicates its
position, and suggests its degree of development.
[Illustration: $1]
=Diagnosis.= Strictures only develop progressively and slowly, a fact
which enables them to be differentiated from œsophagitis. It is more
difficult to differentiate them from dilatations, because the stricture
always ends by becoming complicated with dilatation; but this
distinction is of little practical importance, the consequences being
identical.
=Prognosis.= The prognosis is very grave, and there is no economic
reason for attempting treatment except in special cases; the indications
are in the direction of slaughter.
From the economic standpoint there is no treatment. Basing their actions
on human practice, the Germans have recommended progressive dilatation
of the lumen of the œsophagus by passing a series of catheters of
gradually increasing size. What, however, is justifiable in human
medicine, where the only object is to keep the patient alive at any
cost, may be highly objectionable in veterinary practice; and in the
present instance this is the case. Except in very rare instances, which
the practitioner alone can appreciate, dilatation is contra-indicated,
and the owner’s interest lies in slaughtering the animal before it has
lost much condition.
DILATATION OF THE ŒSOPHAGUS.
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