PAPER
Journal of Small Animal Practice © 2014 British Small Animal Veterinary Association 1
Journal of Small Animal Practice (2014)
DOI: 10.1111/jsap.12281
Accepted: 3 September 2014
may be inconvenient and even unsafe for some patients, particu-
larly diabetic patients and those patients having to travel a long
distance to the ultrasound department (Sinan et al. 2003). The
usefulness of diagnostic imaging in dogs with acute abdominal
signs is well known, yet these cases are not fasted for either US or
computed tomography (CT) examinations (Boysen & Lisciandro
2013, Shanaman et al. 2013). The question of whether or not
fasting effectively reduces intraluminal gas and improves US
image quality in dogs remains unanswered. The aim of this pro-
spective study was to quantify the influence of fasting on image
quality and gastrointestinal content and organ visibility.
MATERIALS AND METHODS
The protocol was approved by the Animal Use Committee of
Federal University of Paraná. Abdominal ultrasonography was
performed in 150 client-owned dogs between August 2012 and
January 2013 in two separate veterinary hospitals, Veterinary
Hospital of Federal University of Parana and Garra Veterinary
Hospital. All abdominal sonograms were performed by two
experienced ultrasonographers, board-certified by the Brazilian
College of Radiologists.
INTRODUCTION
Several authors have insisted on the importance of fasting in
dogs in preparation for ultrasonographic (US) examination
and believe that it is essential to create the optimum condi-
tions for that examination (Penninck 2008, Ohlerth 2011).
Most ultrasonography departments instruct owners to limit
their dogs’ access to solid food for 6 to 12 hours before the
US procedure in order to reduce gas in the gastrointestinal
tract; thereby decreasing artefacts and improving visualisation
of organs. Vogel et al. (1990) reported positive results with
a 2-day low calorie diet, laxatives, and fasting for preparing
human patients. Other investigators have found gas-reducing
agents to be of no value (Heldwein et al. 1987, Pinto et al.
2011). Some studies in paediatric medicine have shown that
fasting is unnecessary and failure to fast does not affect the
quality of the examination (Sinan et al. 2003, Rabelo et al.
2009). In veterinary medicine, Barberet et al. (2008) reported
that air or food in the gastrointestinal tract impairs the visibil-
ity of the pancreas and duodenal papilla.
Additional factors known to influence US image quality
include obesity, poor restraint and thoracic conformation in dogs
(Grooters et al. 1994, Barberet et al. 2008). In humans, fasting
Importance of fasting in preparing dogs
for abdominal ultrasound examination
of specific organs
D. A. A. Garcia and T. R. Froes
Department of Veterinary Medicine, School of Veterinary Medicine, Federal University of Paraná, Curitiba, Paraná, Brazil
OBJECTIVE: To describe the effect of fasting on the technical success of abdominal ultrasonography
specifically in respect of examination of the gall bladder, duodenum, pancreas, adrenal glands and
portal vein in dogs.
METHODS: Randomised, prospective study of 150 dogs with a variety of physical characteristics.
Animals were divided into two groups of 75 dogs each. Dogs in Group 1 were fasted for 8 to 12 hours
before ultrasonographic evaluation and those in Group 2 were not but received food anytime between
10 minutes and 2 hours before the procedure.
RESULTS: Intraluminal gas can influence the visibility of organs, but intraluminal gas accumulation
occurred independently of fasting status. The assessment of abdominal organs was not affected by
whether or not an animal was fasted.
CLINICAL SIGNIFICANCE: Routine fasting of dogs before abdominal ultrasonography is not essential.
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