VECCS Spring
Symposium
2022

March 24-27, 2022

Early-Bird ticket prices until Dec. 31, 2021

Thursday

March 24, 2022

8:00 – 8:50 am

The GI Microbiome in Health and Critical Care Part 1

by Tolbert

An imbalance in the intestinal microbiota, or intestinal microbial dysbiosis, is increasingly recognized as either associated with or purported to be the cause of a vast array of diseases in both humans and companion animals. As such, therapies designed to alter or influence the resident microbiota including prebiotics, probiotics, postbiotics, and fecal microbial transplantation are increasingly recommended for diseases in which dysbiosis is thought to be present. In this 2-hour session, we will review the diagnostics available to identify dysbiosis when present. Available evidence and anecdotal information for the use of these therapies in the management of acute and chronic GI diseases with or without critical illness in the dog and cat will also be presented.

9:00 – 9:50 am

The GI Microbiome in Health and Critical Care Part 2

by Tolbert

An imbalance in the intestinal microbiota, or intestinal microbial dysbiosis, is increasingly recognized as either associated with or purported to be the cause of a vast array of diseases in both humans and companion animals. As such, therapies designed to alter or influence the resident microbiota including prebiotics, probiotics, postbiotics, and fecal microbial transplantation are increasingly recommended for diseases in which dysbiosis is thought to be present. In this 2-hour session, we will review the diagnostics available to identify dysbiosis when present. Available evidence and anecdotal information for the use of these therapies in the management of acute and chronic GI diseases with or without critical illness in the dog and cat will also be presented.

9:50 – 10:10 am

Break

10:10 – 10:40 am

How to Assess Intestinal Health in Surgery

by Biskup

Discuss surgical findings useful in the assessment of GI health and factors to determine appropriate procedure choice.

10:50 – 11:40 am

A Review of Enterotomy and Resection and Anastamosis

by Biskup

Discuss tips, tricks, and recommended techniques for common GI surgeries from start to finish. The focus will be on current literature and recommendations for enterotomy and resection and anastomosis, including placing a secondary seal. Time will be spent introducing GI staplers.

11:50 am – 12:20 pm

Tips for GI Linear Foreign Body and Intussusception Surgery

by Biskup

This session will be an overview of the unique aspects of linear foreign bodies and intussusceptions. Linear foreign bodies present unique challenges including assessing the pylorus, duodenal flexure and minimizing the number of times the intestines are entered. Intussusception is a frustrating condition with multiple options for treatment. Review predisposing factors, clinical signs, and physical exam findings of intussusception.

12:20 – 1:30 pm

Lunch

12:30 – 1:20 pm

Optional Lunch & Learn | Lunch Included | $60 Fee
Addressing Malnutrition in Feline Critical Illness

by Tolbert

The link between malnutrition and increased morbidity is well-established for humans with chronic intestinal diseases. The consequences of malnutrition in critically ill dogs and cats is underexplored but, in several studies, underconditioned animals or those with decreased energy intake have a reduction in immune response and poorer prognosis. There can be many reasons for unintended weight loss in cats with intestinal disease. For this reason, veterinary practitioners must develop an individualized therapeutic plan for each feline patient to address malnutrition, unintended weight loss, and other signs such as vomiting with the goal of long-term quality of life for the cat and their caregiver. In this one-hour seminar, case examples will be used to frame the discussion of an individualized nutritional and pharmacologic approach used to combat weight loss and vomiting in cats with chronic enteropathies.

1:30 – 2:00 pm

Analgesia and the GI Tract

by Rudloff

Commonly used analgesic medications can cause GI side effects just as untreated GI pain can cause GI signs. The key to treating pain while promoting recovery from conditions that cause GI pain requires an understanding of the mechanisms of analgesic medication and options that minimize side effects.

2:00 – 2:50 pm

Acute Hemorrhagic Diarrhea Syndrome

by Tolbert

Acute hemorrhagic diarrhea syndrome (AHDS) is a relatively common reason for dogs of all ages and breeds to be presented to the veterinarian. Evaluation and stabilization should precede or occur alongside the diagnostic evaluation in dogs with AHDS. The approach to evaluation and management of AHDS including review of antibiotic, probiotic, and diet therapy will be discussed in this seminar.

3:00 – 3:50 pm

Identifying and Managing the Patient with an Infectious Diarrhea

by Tolbert & Rudloff

Infectious diarrhea can be a frustrating problem because there are many potential culprits which vary dramatically in prevalence. Moreover, the presence of these pathogens is not always associated with disease, and the number of tests available to the practitioner to identify infectious diarrhea continues to grow. In this seminar, we will discuss which pathogens are significant, how to recognize clues in the case presentation to determine when and how to submit for infectious diarrhea, and how to mitigate the spread of infectious agents in and out of the hospital setting.

3:50 – 4:10 pm

Break

4:10 – 4:40 pm

What to Do with the Regurgitating Dog: Gastroesophageal Reflux, Hiatal Hernia, and More

by Tolbert

There are many causes of regurgitation including anatomic/structural, neurologic, metabolic, inflammatory, and neoplastic disorders. Thus, diagnosis of specific causes of dysmotility such as gastroesophageal reflux (GER) or hiatal hernia can be challenging. In this presentation, we will use a case-based approach to review a diagnostic and therapeutic approach that can help with the diagnosis of these and other gastroesophageal disorders.

4:40 – 5:10 pm

Constipation, Obstipation

by Tolbert

Constipation is common in cats especially those that are inactive or have metabolic or neoplastic diseases. Constipation can lead to obstipation as well as the development of additional adverse effects such as inappetence and therefore can severely affect a cat’s quality of life and result in life-threatening complications. Identification and removal of predisposing factors as well as early therapeutic intervention are critical to the treatment of feline constipation. In this presentation, we will use case presentations to provide a framework for the discussion of the safety and efficacy of therapies (old and new) for feline constipation and obstipation.

6:00 pm

Welcome Reception

Friday

March 25, 2022

8:00 – 8:50 am

A Review of GDV

by Rudloff

Gastric dilatation-volvulus syndrome causes rapid circulatory collapse. Immediate fluid resuscitation and analgesic administration followed by gastric decompression is essential for a successful outcome. This session will cover information that exists challenging the order of therapy, cause, and whether or not immediate surgical intervention is indicated.

9:00 – 9:50 am

Acute Management of the Chronic Enteropathy Patient

by Tolbert

Constipation is common in cats especially those that are inactive or have metabolic or neoplastic diseases. Constipation can lead to obstipation as well as the development of additional adverse effects such as inappetence and therefore can severely affect a cat’s quality of life and result in life-threatening complications. Identification and removal of predisposing factors as well as early therapeutic intervention are critical to the treatment of feline constipation. In this presentation, we will use case presentations to provide a framework for the discussion of the safety and efficacy of therapies (old and new) for feline constipation and obstipation.

9:50 – 10:10 am

Break

10:10 – 11:00 am

GI Surgery with a Septic Abdomen

by Biskup

Performing GI surgery in the face of gross contamination presents challenges with patient stability and intestinal healing. We will discuss how to minimize surgical time, options to improve healing of the intestines and tube placement to help in the post-operative period.

11:10 am – 12:00 pm

The Sepsis Challenge

by Odunayo

This session will focus on sepsis as it relates to veterinary patients. It will cover the definition of sepsis and how practitioners can identify sepsis in affected patients. There will be discussion about treatment of sepsis, including recommendations from the Surviving Sepsis Guidelines. Expected outcome and prognosis of septic patients, with relevant supporting literature, will also be discussed.

Afternoon Open

12:15 – 1:45 pm

Optional Lunch & Learn | Lunch Included | $60 Fee
Wound Management

by Biskup

Wounds come in a variety of shapes and sizes and can arise from a variety of causes. We will spend time discussing wound classification and how the cause of the wound may change treatment (ex. burns). Wound treatment will be explored from initial debridement, choosing a contact layer and assessing success. Finally, less common wound treatment will be discussed including maggots, hyperbaric oxygen, and laser therapy.

Saturday

No lecture today, enjoy the island!

Sunday

March 27, 2022

8:00 – 9:50 am

Year in Review

by Odunayo & Tolbert

This session will provide an overview of studies related to the GI tract published in the veterinary literature in 2021. Practical take-home points for practitioners will be highlighted.

10:00 am – 12:00 pm

Case Studies in Critical GI Challenges

by Panel: Rudloff, Biskup, Odunayo, Tolbert

The patient care team will spend time discussing challenges from multiple perspectives when treating GI disease and injury. Not all clinicians may agree, but they will be able to support their points of view.

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