Description

Chronic enteropathy is a common clinical presentation in our patients and requires a logical and systematic approach in order to maximise the chance of a positive outcome. This webinar will discuss the typical presentation of these cases, the methods of excluding extra-gastrointestinal diseases and the methods of prioritising diagnostics or therapeutics based on clinical severity. We will also discuss how to choose an appropriate diet, when and how to obtain gastrointestinal biopsies and which immunosuppressant medications we might consider and at what time. Lastly we will consider new and future approaches to these diseases and what we can do when things are not going as planned.

Learning Objectives

To recognise the typical presentation of chronic enteropathy, the different sub-types based on response to therapy and the sequels to these diseases (for example protein-losing enteropathy).
To use and interpret clinicopathological testing to exclude extra-gastrointestinal causes and characterise the extent and severity of gastrointestinal disease.
To use clinical severity as a guide to prioritising further tests or therapeutic trials and to maximise the information obtained from further tests (diagnostic imaging, gastrointestinal biopsy).
To select appropriate diets for diagnostic or therapeutic purposes and to select appropriate immunosuppressants at the correct time.
To recognise prognostic factors and be able to adapt therapy over time to achieve long-term results.

Andrew graduated from the University of Bristol in 2008 and spent some time in mixed and then small animal practice before commencing a Senior Clinical Training Scholarship in Small Animal Medicine at The Queens Veterinary School Hospital, Cambridge, in 2012. He moved to Willows Referral Service in Solihull in 2015 and became a European Veterinary Specialist in Small Animal Internal Medicine in 2016. His main clinical interests are in gastroenterology, immune-mediated diseases, urology and interventional endoscopy, and he regularly performs a range or endourological, gastrointestinal and respiratory interventions.

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