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Linnaeus's two-toed sloth () is one of two extant neotropical species of the family Megalonychidae. Despite their being commonly kept under managed care, the digestive physiology of sloths remains poorly understood. Gastrointestinal disease has been reported as a primary or contributing cause of morbidity and mortality in captive two-toed and three-toed ( spp.) sloths. Gastric dilatation due to gas accumulation ("bloat") has been reported in sloths; however, a literature search failed to yield any published mention of gastric volvulus in any sloth species. Following an inquiry sent to the electronic mailing lists of the American Association of Zoo Veterinarians, the European Association of Zoo and Wildlife Veterinarians, and the LatinVets community, three cases of fatal gastric dilatation and volvulus (GDV) were identified in one male and two female Linnaeus's two-toed sloths from institutions in the United States, Canada, and Germany. All cases occurred in juvenile sloths <1 yr of age. Two animals were primarily hand reared, whereas one was reared primarily by its dam. Two animals were found dead with no overt premonitory signs, whereas one animal died following a 3-wk course of waxing and waning clinical signs consistent with gastric gas accumulation. In all cases, GDV was diagnosed on postmortem examination. Similar to other species, the condition is likely subsequent to a combination of host- and husbandry-related contributing factors. Further research into sloth husbandry is required in order to take an evidence-based approach to their management.
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http://dx.doi.org/10.1638/2022-0040 | DOI Listing |
Medicine (Baltimore)
September 2025
Department of General Surgery, ZiGong First People's Hospital, Zigong, Sichuan Province, China.
Rationale: Gastric bezoar-induced duodenal obstruction represents a rare clinical entity with <0.5% incidence among mechanical bowel obstructions.
Patient Concerns: A 73-year-old female patient presented to our institution, manifesting acute abdominal syndrome characterized by progressive pain and distension.
J Metab Bariatr Surg
August 2025
Department of Surgical Gastroenterology, Pace Hospitals, Hyderabad, India.
Obesity affects about 39% of the global population, and bariatric surgery is a leading treatment option. As the number of primary bariatric procedures increases, so does the demand for revisional bariatric surgeries (RBSs), which are often more complex and associated with increased risks of complications. This case report details an unusual complication of RBS that surgeons should be aware of.
View Article and Find Full Text PDFPort J Card Thorac Vasc Surg
August 2025
Department of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, ON, Canada.
Objectives: This pilot study investigated the potential impact of using orogastric tube (OGT) on the immediate post- operative outcomes in adult patients undergoing coronary artery bypass graft procedures.
Design: A prospective non-blinded randomised study.
Setting: At a single University Hospital.
Animals (Basel)
August 2025
Department of Clinical and Veterinary Surgery, Veterinary School, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte 31270-901, MG, Brazil.
A multimodal approach is recommended to optimize perioperative pain control in animals, although opioid use in horses remains limited due to the risks of central nervous system (CNS) stimulation and reduced intestinal motility. A group of 19 healthy, male, mixed-breed horses were divided into two groups and medicated with acepromazine (0.05 mg kg) and detomidine (10 µg kg), with methadone (0.
View Article and Find Full Text PDFDis Esophagus
July 2025
Department of Digestive Surgery, Guy's & St Thomas' National Health Service Foundation Trust, London, UK.
Objectives: Delayed gastric emptying (DGE) following esophago-gastrectomy significantly affects quality of life. There is no standardized measurement tool for the impact of treatment for DGE on patient symptoms. This study aimed to assess the use of a novel symptom response questionnaire, registered with the European Organization for Research and Treatment of Cancer (EORTC), to objectively evaluate treatment efficacy in patients with DGE following endoscopic pyloric dilatation (EPD).
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