Feasibility and complications of videocapsule endoscopy in dogs weighing 7 kg or less

Abstract Background Videocapsule endoscopy (VCE) is a valuable tool for investigating gastrointestinal (GI) diseases in dogs. Its use is not recommended in dogs ≤4.3 kg, because of risks of GI endoscopic capsule (EC) retention and bowel obstruction. Objectives Describe the feasibility and complicati...

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Main Authors: Camille St‐Jean, Allison Collier, Alex Zur Linden, Alexa Bersenas, Alice Defarges
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Journal of Veterinary Internal Medicine
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Online Access:https://doi.org/10.1111/jvim.17286
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author Camille St‐Jean
Allison Collier
Alex Zur Linden
Alexa Bersenas
Alice Defarges
author_facet Camille St‐Jean
Allison Collier
Alex Zur Linden
Alexa Bersenas
Alice Defarges
author_sort Camille St‐Jean
collection DOAJ
description Abstract Background Videocapsule endoscopy (VCE) is a valuable tool for investigating gastrointestinal (GI) diseases in dogs. Its use is not recommended in dogs ≤4.3 kg, because of risks of GI endoscopic capsule (EC) retention and bowel obstruction. Objectives Describe the feasibility and complications of VCE in dogs ≤7 kg. Animals Twenty‐six client‐owned dogs. Methods Retrospective study describing the signalment, previous GI imaging, indications, findings, and complications of canine VCE studies submitted to Infiniti Medical between March 2020 and January 2023. Results The median weight and age of dogs was 5.6 kg (range, 3‐7) and 8.8 years (range, 1‐16), respectively. Two capsules were administered endoscopically into the duodenum (1) and stomach (1). Sixteen out of 26 (62%, 95% CI, 40.51‐79.70) dogs that underwent VCE had incomplete studies. Of the 24 capsules administered per os, 15 led to incomplete studies (battery died in the stomach (14), EC was vomited (1)). Body weight <5 kg significantly increased the risk of an incomplete study (OR: 3.67, 95% CI, 1.56‐inf, P = .0074). Median esophageal, gastric, and small bowel transit time were 5 seconds (range, 1‐180), 240 minutes (range, 17‐335), and 73.5 minutes (range, 5‐168), respectively. All 10 dogs with overt GI bleeding had a possible origin identified with VCE. Complications were limited to vomiting (1/26, 3.85%, 95% CI, 0‐11.20). Conclusions and Clinical Importance Videocapsule endoscopy is a safe and informative procedure even when performed in dogs as small as 3 kg. However, weighing <5 kg increases the risk of incomplete studies.
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spelling doaj-art-f2993e561bb74a7289afd7f69a89bea12025-01-27T15:22:41ZengWileyJournal of Veterinary Internal Medicine0891-66401939-16762025-01-01391n/an/a10.1111/jvim.17286Feasibility and complications of videocapsule endoscopy in dogs weighing 7 kg or lessCamille St‐Jean0Allison Collier1Alex Zur Linden2Alexa Bersenas3Alice Defarges4Department of Clinical Studies, Ontario Veterinary College University of Guelph Guelph Ontario CanadaDepartment of Clinical Studies, Ontario Veterinary College University of Guelph Guelph Ontario CanadaDepartment of Clinical Studies, Ontario Veterinary College University of Guelph Guelph Ontario CanadaDepartment of Clinical Studies, Ontario Veterinary College University of Guelph Guelph Ontario CanadaDepartment of Clinical Studies, Ontario Veterinary College University of Guelph Guelph Ontario CanadaAbstract Background Videocapsule endoscopy (VCE) is a valuable tool for investigating gastrointestinal (GI) diseases in dogs. Its use is not recommended in dogs ≤4.3 kg, because of risks of GI endoscopic capsule (EC) retention and bowel obstruction. Objectives Describe the feasibility and complications of VCE in dogs ≤7 kg. Animals Twenty‐six client‐owned dogs. Methods Retrospective study describing the signalment, previous GI imaging, indications, findings, and complications of canine VCE studies submitted to Infiniti Medical between March 2020 and January 2023. Results The median weight and age of dogs was 5.6 kg (range, 3‐7) and 8.8 years (range, 1‐16), respectively. Two capsules were administered endoscopically into the duodenum (1) and stomach (1). Sixteen out of 26 (62%, 95% CI, 40.51‐79.70) dogs that underwent VCE had incomplete studies. Of the 24 capsules administered per os, 15 led to incomplete studies (battery died in the stomach (14), EC was vomited (1)). Body weight <5 kg significantly increased the risk of an incomplete study (OR: 3.67, 95% CI, 1.56‐inf, P = .0074). Median esophageal, gastric, and small bowel transit time were 5 seconds (range, 1‐180), 240 minutes (range, 17‐335), and 73.5 minutes (range, 5‐168), respectively. All 10 dogs with overt GI bleeding had a possible origin identified with VCE. Complications were limited to vomiting (1/26, 3.85%, 95% CI, 0‐11.20). Conclusions and Clinical Importance Videocapsule endoscopy is a safe and informative procedure even when performed in dogs as small as 3 kg. However, weighing <5 kg increases the risk of incomplete studies.https://doi.org/10.1111/jvim.17286caninecapsule endoscopysafetysmall sizeusefulness
spellingShingle Camille St‐Jean
Allison Collier
Alex Zur Linden
Alexa Bersenas
Alice Defarges
Feasibility and complications of videocapsule endoscopy in dogs weighing 7 kg or less
Journal of Veterinary Internal Medicine
canine
capsule endoscopy
safety
small size
usefulness
title Feasibility and complications of videocapsule endoscopy in dogs weighing 7 kg or less
title_full Feasibility and complications of videocapsule endoscopy in dogs weighing 7 kg or less
title_fullStr Feasibility and complications of videocapsule endoscopy in dogs weighing 7 kg or less
title_full_unstemmed Feasibility and complications of videocapsule endoscopy in dogs weighing 7 kg or less
title_short Feasibility and complications of videocapsule endoscopy in dogs weighing 7 kg or less
title_sort feasibility and complications of videocapsule endoscopy in dogs weighing 7 kg or less
topic canine
capsule endoscopy
safety
small size
usefulness
url https://doi.org/10.1111/jvim.17286
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