Feline Triaditis
27th ECVIM-CA Congress, 2017
Kenneth W. Simpson
College of Veterinary Medicine, Cornell University, Ithaca, NY

Keynote Message

"Triaditis" is the term used to describe concurrent inflammation of the pancreas, liver, and small intestines. Triaditis has been reported in 50–56% of cats diagnosed with pancreatitis and 32–50% of those with cholangitis/inflammatory liver disease. A definitive diagnosis of triaditis is based on the histopathological evaluation of each organ. However, the specific conditions of each organ that constitute a diagnosis triaditis remains to be defined. While the etiopathogenesis of pancreatitis and its relationship to inflammation in other organ systems is unclear, preliminary studies point to a heterogeneous group of conditions with differential involvement of host inflammatory and immune responses and enteric bacteria. Comprehensive, prospective studies that simultaneously evaluate the presence of pre-defined clinical, clinicopathological, and histopathological abnormalities, coupled with high-resolution evaluation of pancreaticobiliary morphology, immunological profiling, and screening for bacterial colonization are required to advance diagnosis and therapy.

Key References

1.  Weiss DJ, Gagne JM, Armstrong PJ. Relationship between inflammatory hepatic disease and inflammatory bowel disease, pancreatitis, and nephritis in cats. J Am Vet Med Assoc. 1996;209(6):1114–6.PMID:8800259

2.  Twedt DC, Cullen J, McCord K, Janeczko S, Dudak J, Simpson K. Evaluation of fluorescence in situ hybridization for the detection of bacteria in feline inflammatory liver disease. J Feline Med Surg. 2014;16(2):109–17. doi: 10.1177/1098612X13498249. Epub 2013 Jul 24. PMID:23884636

3.  Simpson KW. Pancreatitis and triaditis in cats: causes and treatment. J Small Anim Pract. 2015;56(1):40–9. doi: 10.1111/jsap.12313. Review. PMID:25586805

4.  Fragkou FC, Adamama-Moraitou KK, Poutahidis T, Prassinos NN, Kritsepi-Konstantinou M, Xenoulis PG, Steiner JM, Lidbury JA, Suchodolski JS, Rallis TS. Prevalence and clinicopathological features of triaditis in a prospective case series of symptomatic and asymptomatic cats. J Vet Intern Med. 2016;30(4):1031–45. doi: 10.1111/jvim.14356. Epub 2016 Jun 14. PMID:27296565

5.  Byfield VL, Callahan Clark JE, Turek BJ, Bradley CW, Rondeau MP. Percutaneous cholecystocentesis in cats with suspected hepatobiliary disease. J Feline Med Surg. 2017 Jan 1:1098612X16689335. doi: 10.1177/1098612X16689335. [Epub ahead of print]PMID:28128682

  

Speaker Information
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Kenneth W. Simpson
College of Veterinary Medicine
Cornell University
Ithaca, NY, USA


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