{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T15:59:48Z","timestamp":1770220788718,"version":"3.49.0"},"reference-count":50,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2012,7,1]],"date-time":"2012-07-01T00:00:00Z","timestamp":1341100800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pepsinogens are proenzymes secreted by gastric chief cells. In humans, their serum concentrations reflect gastric mucosal morphological and functional status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate serum canine pepsinogen-A (cPG-A), C-reactive protein (CRP), and canine pancreatic lipase immunoreactivity (cPLI) concentrations in dogs with gastric dilatation-volvulus (GDV).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Animals<\/jats:title>\n                    <jats:p>Sixty-six dogs presented with GDV and 79 healthy controls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Blood was collected prospectively, and records retrospectively reviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Median cPG-A concentration was higher in GDV dogs (median, 397\u00a0\u03bcg\/L; range, 37\u20135,410) compared to controls (median, cPG-A 304\u00a0\u03bcg\/L; range, 18\u2013848; P\u00a0=\u00a0.07). Mortality rate in GDV dogs was 22.7%. In nonsurvivors of GDV, median cPG-A was higher compared to survivors (median, 746\u00a0\u03bcg\/L; range, 128\u20135,409 versus median, 346; range, 36\u20131,575, respectively; P\u00a0=\u00a0.003). The proportion of dogs with increased cPG-A increased with gastric wall damage score (P\u00a0=\u00a0.007). An ROC analysis of cPG-A as a predictor of death showed an area under the curve (AUC) of 0.75, higher than lactate (AUC 0.66), and corresponded to a sensitivity and specificity of 53% and 88%, respectively. CRP was increased in 48 dogs (75%), cPLI was &amp;gt;200\u00a0\u03bcg\/L in 26 dogs (39.4%) and &amp;gt;400\u00a0\u03bcg\/L in 12 dogs (18.2%) but both analytes had no association with outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Presurgical cPG-A concentration was positively and significantly associated with gastric wall lesion severity, but, based on ROC analysis, it was only a moderate outcome predictor. CRP and cPLI were commonly increased in dogs with GDV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/j.1939-1676.2012.00940.x","type":"journal-article","created":{"date-parts":[[2012,5,18]],"date-time":"2012-05-18T05:48:07Z","timestamp":1337320087000},"page":"920-928","source":"Crossref","is-referenced-by-count":27,"title":["Serum Pepsinogen-A, Canine Pancreatic Lipase Immunoreactivity, and C-Reactive Protein as Prognostic Markers in Dogs with Gastric Dilatation-Volvulus"],"prefix":"10.1093","volume":"26","author":[{"given":"I.","family":"Israeli","sequence":"first","affiliation":[{"name":"Koret School of Veterinary Medicine, Hebrew University of Jerusalem , Rehovot,","place":["Israel"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Steiner","sequence":"additional","affiliation":[{"name":"GI Laboratory, Texas A&M University , College Station, 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School of Veterinary Medicine, Hebrew University of Jerusalem , Rehovot,","place":["Israel"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Yudelevitch","sequence":"additional","affiliation":[{"name":"Koret School of Veterinary Medicine, Hebrew University of Jerusalem , Rehovot,","place":["Israel"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I.","family":"Aroch","sequence":"additional","affiliation":[{"name":"Koret School of Veterinary Medicine, Hebrew University of Jerusalem , Rehovot,","place":["Israel"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2012,7,1]]},"reference":[{"key":"2026020304123336600_jvim940-bib-0001","first-page":"223","volume-title":"Current Techniques in Small Animal Surgery","author":"Lantz","year":"1998","edition":"4th 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