Chronic Enteropathy in Cats with Dr. White
Heather Kvitko-White, DVM, DACVIM (SAIM), KW Veterinary Consulting, Kansas City, Missouri
In this episode, host Alyssa Watson, DVM, is joined by Heather Kvitko-White, DVM, DACVIM (SAIM), to talk about her recent Clinician’s Brief article, “Chronic Enteropathy in Cats.” Dr. White explains why viewing the condition as chronic enteropathy is gaining favor. She discusses the most practical diagnostic options, the realistic value of biopsy when it comes to diagnosing underlying causes like IBD or small cell lymphoma, and treatment options, including the usefulness, or lack thereof, of novel protein diets and the dilemma of whether or not to withhold steroids.
Key Takeaways
“Chronic enteropathy” can be used to encompass conditions including IBD and small cell lymphoma.
GI lab work and imaging are useful focused diagnostics—depending on the case, you skip radiographs and go straight for an ultrasound.
The Dysbiosis Index can be used to confirm the presence of an enteropathy and track response to treatment.
Oral deworming is indicated at the outset, but empirical metronidazole and/or tylosin are no longer considered appropriate.
Biopsy is always indicated—if the clients aren’t interested, then no reason to withhold steroids.
About the Guest
Heather Kvitko-White, DVM, DACVIM (SAIM), is a small animal internal medicine specialist, founder and president of KW Veterinary Consulting in Kansas City, Missouri, and a national speaker who promotes a creative and common-sense approach to caring for patients without sacrificing quality. She earned her DVM from The Ohio State University, completed a small animal rotating internship at Purdue University, and completed an internal medicine residency at Texas A&M University. Her interests are in teaching pragmatic veterinary medicine, mentoring veterinary students and house officers, and developing continuing education content at all industry levels.
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The Team:
Alyssa Watson, DVM - Host
Alexis Ussery - Producer & Digital Content Coordinator
Randall Stupka - Podcast Production & Sound Editing