Approved for 1hr RACE CE

Canine Chronic Enteropathy

The diagnostic approach to defining canine chronic enteropathy (CE) will be discussed. Changes in small animal gastroenterology terminology will be reviewed. Chronic enteropathy is defined as the presence of gastrointestinal signs of a minimum of 3 weeks duration, where the clinician has excluded all extraintestinal and all primary intestinal disease (bacterial, fungal, parasitic, neoplastic and structural) as the cause for the symptoms. Given that CE is a diagnosis of exclusion we will outline the extensive work up that would be required for a clinician to reach this conclusion. We will discuss new ideas with regards to when intestinal biopsy may be indicated. We will then define circumstances that could, based on case severity, have the clinician moving to a presumptive diagnosis of CE and attempting therapeutic trials. This will be balanced against a case that fails those trials or is of a more severe nature warranting a more aggressive approach/or diagnostic escalation. We will talk about specific non invasive diagnostic tests for chronic enteropathy and their potential diagnostic, prognostic and therapeutic utility. Finally, we will talk about a relatively new test panel for CE/IBD assessing the level of IgA antibodies (CE/IBD biomarkers) against 3 different targets (Anti-OmpC Porin surface antigen (ACA), Anti-canine calprotectin (ACNA), Anti-Gliadin(AGA)) and this panels ability to identify a case consistent with IBD, along with the panels potential to guide therapeutic decision maker, and its possible use in monitoring treatment response.

SPEAKER: Johanna Cooper, DVM, DACVIM (SAIM)

Dr. Johanna Cooper obtained a Bachelor in Science from the University of Guelph. Her Doctorate in Veterinary Medicine was completed at the Ontario Veterinary College. After spending 2 years in general practice she elected to pursue a residency in Small Animal Internal medicine. Her internal medicine residency in small animal was obtained at Tufts University Cummings School of Veterinary Medicine. She was an associate professor at Tufts Veterinary Emergency Treatment and Specialties for over 8 years where she trained residents, interns and students in the art of veterinary medicine. In 2014 she became an internal medicine consultant for Antech Diagnostics. Her area of specialty is hepatology and gastroenterology. She has published numerous articles and book chapters pertaining to hepatic disease.

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