VetSRev
Database of veterinary systematic reviews
Database of veterinary systematic reviews
J Vet Intern Med (2019) 33: 11–22
DOI: 10.1111/jvim.15345
BACKGROUND: The optimal medical treatment for chronic enteropathy (CE) in dogs and cats is controversial. Sequential treatment using diet, antimicrobials, and immunosuppressive drugs is the most common strategy used by clinicians. OBJECTIVES: To review the evidence for the effectiveness of dietary, drug, and alternative health interventions for inducing clinical remission in dogs and cats with CE. ANIMALS: Retrospective study of dogs and cats with a diagnosis of chronic enteropathy. METHODS: MEDLINE and Centre for Agriculture and Bioscience International (CABI) databases (1950 to March 2017) were searched for randomized controlled trials (RCTs), observational studies, and case series. The primary outcome was induction of clinical remission. All studies were evaluated using the quality of evidence grading guidelines (I-IV), which assign a score defining the strength and quality of the evidence. RESULTS: Twenty-two studies (11 RCTs in dogs and 2 in cats and 9 cohort studies or case series) met the inclusion criteria for inducing remission of gastrointestinal (GI) signs. Of the 13 RCTs achieving grade I scores, 10 studies (totaling 218 dogs and 65 cats) compared single treatment: diet (n = 3), immunosuppressives (n = 3), antimicrobials (n = 2), anti-inflammatory drugs (n = 1), and probiotics (n = 1). Three case series (grade III) reported clinical remission using an elimination diet fed to 55 cats and use of enrofloxacin to induce remission in dogs with granulomatous colitis (2 studies totaling 16 dogs). CONCLUSIONS AND CLINICAL IMPORTANCE: The current evidence for treatment of CE is much greater in dogs than in cats. There is sufficient strong evidence to recommend the use of therapeutic GI diets, glucocorticoids, enrofloxacin, or some combination of these in dogs with CE. Therapeutic GI diets and glucocorticoids are most useful in cats with CE.
Makielski, K., Cullen, J., O’Connor, A., & Jergens, A. E. (2019). Narrative review of therapies for chronic enteropathies in dogs and cats. J Vet Intern Med, 33(1), 11–22. https://doi.org/10.1111/jvim.15345 Animals, Dogs, Cats, Complementary Therapies/veterinary, diet, Immunosuppressive Agents/therapeutic use, antibiotics, Anti-Infective Agents/therapeutic use, Chronic Disease/veterinary, Cat Diseases/diet therapy/drug therapy/*therapy, cyclosporine, Dog Diseases/diet therapy/drug therapy/*therapy, drug treatment, immunosuppressives, inflammatory bowel disease, Intestinal Diseases/diet therapy/drug therapy/therapy/*veterinary, prednisone, quality of evidence guidelines, randomized controlled trial