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Journal of the American Veterinary Medical Association2002; 221(3); 403-368; doi: 10.2460/javma.2002.221.403

Use of a neodymium:yttrium-aluminum-garnet laser to remove exuberant granulation tissue from the esophagus of a horse.

Abstract: Use of a neodymium:yttrium-aluminum-garnet laser to remove exuberant granulation tissue from the esophagus of a horse A 4-year-old Quarter Horse mare was evaluated because of recurrent esophageal obstruction. Endoscopic examination revealed a proliferative mass in the esophagus approximately 55 cm aborad to the nares. Histologic examination of biopsy specimens revealed diffuse suppurative esophagitis and granulation tissue with no evidence of neoplasia. The mass was excisedand ablated transendoscopically with a neodymium:yttrium-aluminum-garnet laser. During a follow-up examination 2 weeks after the final laser procedure, the mass was no longer apparent, and the esophagus appeared healed. Six months after the final examination, there had been no recurrence of the mass. In this horse, transendoscopic laser excision was efficacious and avoided problems associated with an esophagotomy.
Publication Date: 2002-08-08 PubMed ID: 12164539DOI: 10.2460/javma.2002.221.403Google Scholar: Lookup
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Summary

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This research article presents a case where a laser was successfully used to remove abnormal granulation tissue from the esophagus of a horse, avoiding any complications linked with more invasive procedures.

The Horse’s Condition

  • The research recapitulates the case of a 4-year-old Quarter Horse mare that had been suffering from repetitive esophageal obstruction.
  • An endoscopic examination revealed the presence of an anomalous mass located in the esophagus, approximately 55 cm away from the nares.
  • A histological investigation of the mass, obtained from biopsy specimens, determined it to be comprised of diffuse suppurative esophagitis and granulation tissue.
  • There was no evidence to show that the mass was neoplastic.

Laser Treatment

  • The neodymium:yttrium-aluminum-garnet laser was used in a transendoscopic procedure to cut out and ablate the mass.
  • This process was efficient in completely removing the mass with the horse presenting no signs of the mass during a follow-up visit after two weeks from the last laser procedure.
  • The esophagus had completely healed with the site of the former mass appearing normal.

Post-Treatment Analysis

  • There was no indication of any reversion or reappearance of the mass six months following the last examination.
  • Hence, it could be ascertained that transendoscopic laser excision was not only successful in this scenario but also avoided complications which frequently accompany an esophagotomy.

Cite This Article

APA
Erkert RS, MacAllister CG, Higbee R, Moll HD, Reiners S, Crowson C, Bahr R, Bartels KE. (2002). Use of a neodymium:yttrium-aluminum-garnet laser to remove exuberant granulation tissue from the esophagus of a horse. J Am Vet Med Assoc, 221(3), 403-368. https://doi.org/10.2460/javma.2002.221.403

Publication

ISSN: 0003-1488
NlmUniqueID: 7503067
Country: United States
Language: English
Volume: 221
Issue: 3
Pages: 403-368

Researcher Affiliations

Erkert, Ronald S
  • Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Oklahoma State University, Stillwater 74078, USA.
MacAllister, Charles G
    Higbee, Russell
      Moll, H David
        Reiners, Scott
          Crowson, Chris
            Bahr, Robert
              Bartels, Kenneth E

                MeSH Terms

                • Animals
                • Esophageal Diseases / surgery
                • Esophageal Diseases / veterinary
                • Female
                • Granulation Tissue / surgery
                • Horse Diseases / surgery
                • Horses
                • Laser Therapy / instrumentation
                • Laser Therapy / methods
                • Laser Therapy / veterinary
                • Recurrence
                • Treatment Outcome

                Citations

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