Utility of dietary therapy including low-fat gastrointestinal diets…

Présenté par Allison Collier, D.M.V., D. Sc. V., Dipl. ACVIM (médecine interne des animaux de compagnie)

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Questions

1. Which of the following represents inflammatory bowel disease (IBD) as compared to chronic enteropathy (CE)? *

CE refers to patients with histologically proven inflammation that have failed treatment trials

Patients with IBD have failed treatment trials with diet and deworming and have histologic inflammation

There is no difference between IBD and CE

2. Marked response to diet occurs in over ______of patients with CE. *

20%

30%

50%

80%

3. Which of the following is correct in regard to gastrointestinal (GI) biopsies in patients with CE? *

Biopsies aid in differentiation of food-responsive enteropathy from immunosuppressive-responsive enteropathy

Granulomatous inflammation is the most common type of inflammation seen on GI biopsies

Biopsies should be considered earlier in the diagnostic process in patients with severe weight loss and prolonged anorexia

Ultrasonographic evidence of infiltrative disease is not an indication to do biopsies before treatment trials

4. Which of the following is true about cobalamin supplementation in patients with CE? *

Low cobalamin is not a negative prognostic factor in dogs with CE

Dysbiosis can lead to elevated cobalamin levels

Cobalamin supplementation can only be administered through a subcutaneous injection

Cobalamin supplementation can be given to dogs with low normal (<400 ng/mL) levels, or in patients where measurement of levels is not feasible

5. Which statement is true regarding dietary therapy for CE? *

A second dietary trial can be considered in stable patients

Patients with food-responsive enteropathy are often older with small bowel signs

Dietary therapy should be considered after treatment trials with immunosuppressive medications have failed

Most dogs take 4 or more weeks to respond to dietary therapy

6. A high-fibre diet has been shown to be particularly beneficial in in dogs with ______. *

Pancreatitis

Colitis

Lymphangiectasia

All of the above

7. Low-fat diets can be beneficial in patients with: *

Pancreatitis

Lymphangiectasia

Motility disorders

All of the above

8. Which statement is true regarding dietary therapy in patients with protein-losing enteropathy (PLE)? *

A dietary trial is not suitable in patients with PLE due to the more aggressive nature of this disease

It has been shown that the CCECAI was often lower (<8) in dogs with PLE that responded to dietary therapy

Low-fat diets can increase lymphatic flow and lead to lacteal dilation and lymph leakage

9. Which of the following statements represents potential benefits of fecal microbiota transplantation? *

Re-establishing prominence of secondary bile acids in feces

Transfer of short-chain fatty acids

Transplantation of bacteriophages

All of the above

10. Which of the following would not be a reasonable way to improve gastrointestinal dysbiosis? *

Diet

Antacids

Prebiotics

Fecal microbiota transplantation