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sIGESTDiplomate-ledIntegratedGastroenterologyEdinburghSpecialistTreatment

IGESTDiplomate-ledIntegratedGastroenterologyEdinburghSpecialistTreatment

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M8M9 CITY OF EDINBURGH

ROSLIN

BILSTON

PENICUIK

LOANHEAD

THE CITY OF EDINBURGH BYPASS

PENTLAND HILLSREGIONAL PARK

GLASGOW

STIRLING /PERTH M90 A90/A902

EDINBURGH

EdinburghInternational

Airport

A74 (M) CARLISLE A703

PEEBLES

1. Veterinary Teaching Building2. Community Garden3. The Hospital for Small Animals and Riddell-Swan Veterinary Cancer Centre4. The Bumstead Building5. Campus Service Centre6. The Roslin Institute

Overflow parking Disabled parking Main entrance & reception Bus stop

Client parking

SAT NAV:EH25 9RG

7. The Greenwood Building8. The Charnock Bradley Building9. Farm Animal Practice10. Global Academy of Agriculture and Food Security11. Equine Diagnostic, Surgical and Critical Care Unit 12. Equine Hospital and Practice13. Farm Animal Hospital

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The DIGEST Clinic consists of a team of specialists who havean expertise in the evaluation of gastrointestinal problems in dogs and cats. Because of our dedication to these patients and the availability of world-class equipment, we are able to offer a comprehensive diagnostic approach. This includes live fluoroscopy, abdominal ultrasound, computed tomography and our flagship Robert O’Curle Endoscopy Unit including multiple flexible video endoscopes adapted to patient size.

To allow continuous improvement of our highly integrated patientcare, we work closely with on-site pathologists and other serviceswithin the hospital. We pioneer new therapeuticapproaches for GI conditions that are more difficult to treat, forexample faecal microbial transplantation (FMT) and special mixturesof probiotics for use in inflammatory bowel disease.

Through the Nutrition Clinic, we provide individualised dietary advice for out-patients as well as hospitalised patients and also offer a weight loss programme for dogs.

As this is our passion and we continuously strive to improve thewelfare of our patients, we look forward to helping any patients withgastrointestinal disorders referred to the Hospital for Small Animals.

IGESTDiplomate-ledIntegratedGastroenterologyEdinburghSpecialistTreatment

IGESTDiplomate-ledIntegratedGastroenterologyEdinburghSpecialistTreatment

ASK PRINTER TO OUTPUT AT 95% SIZETherapy at the DIGESTand Nutrition Clinics

• Senior staff who are Recognised Specialists (European/ American diploma holders) in Small Animal Internal Medicine

• High-quality diagnostic imaging facilities, including live fluoroscopy (for example for swallowing studies), abdominal ultrasound with the application of new imaging techniques like contrast-enhanced ultrasound (CEUS), and computed tomography

• Top-of-the range video endoscopy that allows high-definition visual inspection of the gastrointestinal tract, removal of foreign bodies, oesophageal balloon dilations and biopsies. Narrow-band imaging (NBI)-type endoscopy is also available to integrate newest research results into our patient care

• On-site clinical pathology and histopathology labs

• Bespoke dietary advice and feeding plans (including tube feeding plans) by our specially trained nutrition nursing staff

• Excellent hospital staff and facilities with integrated surgery, neurology, oncology, cardiology, anaesthesia and emergency & critical care support

• 24 hour in-patient care, with a dedicated Intensive Care Unit

Common reasons for referral to the DIGEST Clinic

• Acute GI upset (vomiting, diarrhoea, lethargy, anorexia, collapse, hypovolaemia)

• Chronic GI problems (vomiting, small and large bowel diarrhoea, weight loss, anorexia)

• Regurgitation

Case adviceThe DIGEST team works closely with referring vets, either discussing cases with gastrointestinal or nutritional problems if they are unsure referral is needed, or to discuss continued management of patients once back under the care of their practice.

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Live fluoroscopy for swallowing studiesFor patients with problems chewing and swallowing food or water, we can offer live imaging techniques that allow us to see their food pass through the GI system. We can identify any narrowing of the oesophagus, gastro-oesophageal reflux disease, foreign bodies or masses in these regions.

Contrast-enhanced abdominal ultrasound (CEUS)Besides “standard” abdominal ultrasound, we use a “bubble” contrast medium to highlight organs of interest, which gives us an idea of their blood supply. This is much safer than “traditional” contrast media, as it does not interfere with any organ’s function, and can help us highlight inflammation or potentially even neoplasia.

Video endoscopy with narrow-band imaging (NBI)Our flexible endoscopy unit gives us extremely high-quality visibility of the inside of the stomach or intestine. This helps identification of abnormal structures and more targeted biopsies. In addition, we can use a special imaging modality during endoscopy by changing the type of light that is used for visualisation, called NBI (which makes tissue appear more green/brown). This allows us to see finer structures (for example small blood vessels) or makes flat abnormalities stand out more.

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Arranging a referralReferrals to the DIGEST Clinic or the Nutrition Clinic can be arranged by the referring vet through our canine medicine service, either by phone (0131 650 7650) or by sending an online referral request. The form can found at www.ed.ac.uk/vet/refer. We can also be contacted by email (HFSAreception@ed.ac.uk).

Case follow-upOnce diagnostic testing is complete, important information will be discussed with the owners at the discharge appointment. We will then contact the referring vet by phone or email with details of the investigations, diagnosis and treatment to allow seamless continuity of care, which will include a detailed discharge report. This may also include a nutritional/ dietary plan with exact feeding instructions where appropriate.

ASK PRINTER TO OUTPUT AT 95% SIZE

A720

A702

A703

A702

A701

A701

A701

A71

A720

M8

M8M9 CITY OF EDINBURGH

ROSLIN

BILSTON

PENICUIK

LOANHEAD

THE CITY OF EDINBURGH BYPASS

PENTLAND HILLSREGIONAL PARK

GLASGOW

STIRLING /PERTH M90 A90/A902

EDINBURGH

EdinburghInternational

Airport

A74 (M) CARLISLE A703

PEEBLES

1. Veterinary Teaching Building2. Community Garden3. The Hospital for Small Animals and Riddell-Swan Veterinary Cancer Centre4. The Bumstead Building5. Campus Service Centre6. The Roslin Institute

Overflow parking Disabled parking Main entrance & reception Bus stop

Client parking

SAT NAV:EH25 9RG

7. The Greenwood Building8. The Charnock Bradley Building9. Farm Animal Practice10. Global Academy of Agriculture and Food Security11. Equine Diagnostic, Surgical and Critical Care Unit 12. Equine Hospital and Practice13. Farm Animal Hospital

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PeeblesA703

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5

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11

The Power of Three: The unique offering of Excellencein Clinical, Teaching and Research make up the threepillars of The Royal (Dick) School of Veterinary Studies.

As part of The University of Edinburgh, the Hospital of Small Animals is a not-for-profit organisation.

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The DIGEST ClinicThe Royal (Dick) School of Veterinary StudiesThe University of EdinburghEaster Bush CampusMidlothian EH25 9RG

telephone 0131 650 7650fax 0131 650 7652email HfSAreception@ed.ac.uk www.ed.ac.uk/vet/digest