Small Animal Clinical Nutrition

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Chapter 66: Exocrine Pancreatic Insufficiency References


Adamama-Moraitou K, Rallis T, Papasteriadis A, et al. Iron, zinc and copper concentration in serum, various organs, and hair of dogs with experimentally induced exocrine pancreatic insufficiency. Digestive Diseases and Sciences 2001; 46: 1444-1457.

Balaghi M, Wagner C. Folate deficiency inhibits pancreatic amylase secretion in rats. American Journal of Clinical Nutrition 1995; 61: 90-96.

Batchelor DJ, Noble PJ, Taylor RH, et al. Prognostic factors in canine exocrine pancreatic insufficiency: Prolonged survival is likely if clinical remission is achieved. Journal of Veterinary Internal Medicine 2007; 21: 54-60.

Batt R, Barnes A, Rutgers HC, et al. Relative IgA deficiency and small intestinal bacterial overgrowth in German shepherd dogs. Research in Veterinary Science 1991; 50: 106-111.

Batt RM, Morgan JO. Role of serum folate and vitamin B12 concentrations in the differentiation of small intestinal abnormalities in the dog. Research in Veterinary Science 1982; 32: 17-22.

Boari A, Williams DA, Famigli-Bergamini P. Observations on exocrine pancreatic insufficiency in a family of English setter dogs. Journal of Small Animal Practice 1994; 35: 247-250.

Dutta SK, Hlasko J. Dietary fiber in pancreatic disease: Effect of high fiber diet on fat malabsorption in pancreatic insufficiency and in vitro study of the interaction of dietary fiber with pancreatic enzymes. American Journal of Clinical Nutrition 1985; 41: 517-525.

Fyfe JC. Feline intrinsic factor (IF) is pancreatic in origin and mediates ileal cobalamin (CBL) absorption (abstract). Journal of Veterinary Medicine 1993; 7: 133.

Jacobs RM, Norris AM, Lumsden JH, et al. Laboratory diagnosis of malassimilation. Veterinary Clinics of North America: Small Animal Practice 1989; 19: 951-977.

Meyer DJ, Williams DA. Diagnosis of hepatic and exocrine pancreatic disorders. Seminars in Veterinary Medicine and Surgery: Small Animal 1992; 7: 275-284.

Moeller EM, Steiner JM, Clark LA, et al. Inheritance of pancreatic acinar atrophy in German shepherd dogs. American Journal of Veterinary Research 2002; 63: 1429-1434.

Perry LA, Williams DA, Pidgeon GL. Exocrine pancreatic insufficiency with associated coagulopathy in a cat. Journal of the American Animal Hospital Association 1991; 27: 109-114.

Pidgeon GL. Effect of diet on exocrine pancreatic insufficiency in dogs. Journal of the American Veterinary Medical Association 1982; 281: 232-235.

Pidgeon GL. Malassimilation syndrome: Maldigestion/malabsorption. In: Kirk RW, ed. Current Veterinary Therapy VII. Philadelphia, PA: WB Saunders Co, 1980; 930-935.

Proschowsky HF, Fredholm M. Exocrine pancreatic insufficiency in the Eurasian dog breed–Inheritance and exclusions of two candidate genes. Animal Genetics 2007; 38: 171-173.

Raiha M, Westermarck E. The signs of pancreatic degenerative atrophy in dogs and the role of external factors in the etiology of the disease. Acta Veterinaria Scandinavica 1989; 30: 447-452.

Remillard RL, Thatcher CD. Dietary and nutritional management of gastrointestinal diseases. Veterinary Clinics of North America: Small Animal Practice 1989; 19: 797-817.

Rutz GM, Steiner JM, Bauer JE, et al. Effects of exchange of dietary medium chain triglycerides for long-chain triglycerides on serum biochemical variables and subjectively assessed well-being of dogs with exocrine pancreatic insufficiency. American Journal of Veterinary Research 2004; 65: 1293-1302.

Rutz GM, Steiner JM, Williams DA. Oral bleeding associated with pancreatic enzyme supplementation in three dogs with exocrine pancreatic insufficiency. Journal of the American Veterinary Medical Association 2002; 221: 1716-1718.

Sherding RG. Canine exocrine pancreatic insufficiency. Compendium on Continuing Education for the Practicing Veterinarian 1979; 1: 816-820.

Simpson KW, Batt RM, Jones D, et al. Effects of exocrine pancreatic insufficiency and replacement therapy on the bacterial flora of the duodenum in dogs. American Journal of Veterinary Research 1990; 51: 203-206.

Simpson KW, Morton D, Batt R. Effect of exocrine pancreatic insufficiency on cobalamin absorption in dogs. American Journal of Veterinary Research 1989; 50: 1233-1236.

Snead E. Oral ulceration and bleeding associated with pancreatic enzyme supplementation in a German shepherd with pancreatic acinar atrophy. Canadian Veterinary Journal 2006; 47: 579-582.

Steiner JM, Rutz GM, Williams DA. Serum lipase activities and pancreatic lipase immunoreactivity concentrations in dogs with exocrine pancreatic insufficiency. American Journal of Veterinary Research 2006; 67: 84-87.

Steiner JM, Williams DA. Feline trypsin-like immunoreactivity in feline exocrine pancreatic disease. Compendium on Continuing Education for the Practicing Veterinarian 1996; 18: 543-547.

Steiner JM, Williams DA. Serum feline trypsin-like immunoreactivity in cats with exocrine pancreatic insufficiency. Journal of Veterinary Internal Medicine 2000; 14: 627-629.

Steiner JM. Exocrine pancreas. In Steiner JM, ed. Small Animal Gastroenterology. Hanover, Germany: Schlutersche, 2008; 283-306.

Suzuki A, Mizumoto A, Sarr MG, et al. Bacterial lipase and high-fat diets in canine exocrine pancreatic insufficiency: A new therapy of steatorrhea? Gastroenterology 1997; 112: 2048-2055.

Watson PJ. Exocrine pancreatic insufficiency as end state of pancreatitis in five dogs (abstract). In: Proceedings. European Society of Veterinary Internal Medicine, Brussels, Belgium, 1995: 64.

Watson WS, McLauchlan G, Lyon TDB, et al. Zinc absorption in pancreatic insufficiency. In: Hurley LS, Keen CL, Lonnerdal B, et al, eds. TEMA-6. New York, NY: Plenum Press, 1988; 51-52.

Westermarck E, Batt RM, Vaillant C, et al. Sequential study of pancreatic structure and function during development of pancreatic acinar atrophy in a German shepherd dog. American Journal of Veterinary Research 1993; 54: 1088-1094.

Westermarck E, Junttila JT, Wiberg ME. Role of low dietary fat in the treatment of dogs with exocrine pancreatic insufficiency. American Journal of Veterinary Research 1995; 56: 600-605.

Westermarck E, Myllys V, Aho M. Effect of treatment on the jejunal and colonic bacterial flora of dogs with exocrine pancreatic insufficiency. Pancreas 1993a; 8: 559-562.

Westermarck E, Wiberg M, Junttila J. Role of feeding in the treatment of dogs with pancreatic degenerative atrophy. Acta Veterinaria Scandinavica 1990; 31: 325-331.

Westermarck E, Wiberg M. Effects of diet on clinical signs of exocrine pancreatic insufficiency in dogs. Journal of the American Veterinary Medical Association 2006; 228: 225-229.

Westermarck E, Wiberg M. Exocrine pancreatic insufficiency in dogs. Veterinary Clinics of North America: Small Animal Practice 2003; 33: 1165-1179.

Westermarck E. Treatment of pancreatic degenerative atrophy with raw pancreas homogenate and various enzyme preparations. Journal of the American Veterinary Medical Association 1987; 34: 728-733.

Whitbread TJ, Batt RM, Garthwaite G. Relative deficiency of serum IgA in the German shepherd dog: A breed anomaly. Research in Veterinary Science 1984; 37: 350-352.

Wiberg ME, Nurmi A-K, Westermarck E. Serum trypsin-like immunoreactivity measurement for the diagnosis of subclinical exocrine pancreatic insufficiency in dogs. Journal of Veterinary Internal Medicine 1999a; 13: 426-432.

Wiberg ME, Saari SAM, Westermarck E. Exocrine pancreatic atrophy in German shepherd dogs and rough-coated collies: An end-result of lymphocytic pancreatitis. Veterinary Pathology 1999; 36: 530-541.

Wiberg ME, Westermarck E. Subclinical exocrine pancreatic insufficiency in dogs. Journal of the American Veterinary Medical Association 2002; 220: 1183-1187.

Williams DA, Batt RM, McLean L. Bacterial overgrowth in the duodenum of dogs with exocrine pancreatic insufficiency. Journal of the American Veterinary Medical Association 1987; 191: 201-206.

Williams DA, Batt RM. Diagnosis of canine exocrine pancreatic insufficiency by the assay of serum trypsin-like immunoreactivity. Journal of Small Animal Practice 1983; 24: 583-588.

Williams DA, Batt RM. Sensitivity and specificity of radioimmunoassay of serum trypsin-like immunoreactivity for the diagnosis of canine exocrine pancreatic insufficiency. Journal of the American Veterinary Medical Association 1988; 192: 195-201.

Williams DA. Evaluation of radioassay methods for analysis of canine serum cobalamin and folate (abstract). Journal of Veterinary Internal Medicine 1991; 6: 120.

Williams DA. Exocrine pancreatic insufficiency in dogs and cats. In: Proceedings. Ontario Veterinary Medical Association Conference, Toronto, Canada, 2006: 189-193.

Williams DA. Exocrine pancreatic insufficiency. In: Anderson NV, ed. Veterinary Gastroenterology, 2nd ed. Philadelphia, PA. Lea and Febiger, 1992; 283-204.

Williams DA. Exocrine pancreatic insufficiency. In: Ettinger SJ, Feldman EC, eds. Textbook of Veterinary Internal Medicine, 4th ed. Philadelphia, PA: WB Saunders Co, 1994; 1372-1392.

Williams DA. Feline exocrine pancreatic insufficiency. In: Bonagura JD, ed. Current Veterinary Therapy XII. Philadelphia, PA: WB Saunders Co, 1994a; 732-735.

Williams DA. The pancreas. In: Guilford WG, Center SA, Strombeck DR, et al, eds. Strombeck’s Small Animal Gastroenterology, 3rd ed. Philadelphia, PA: WB Saunders Co, 1996; 381-411.



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