Gastric Impaction in a Pony: Relief via Laparotomy

Jones, D. G. Clayton; Greatorex, J. C.; Stockman, Mike; Harris, Ciel

doi:10.1111/j.2042-3306.1972.tb03887.x

Cited by 15 publications

(15 citation statements)

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“…In addition, the median duration of symptoms was 3 days. In contrast, previous reports suggested that the condition is associated with severe pain (Jones et al . 1972; Barclay et al .…”

Section: Discussioncontrasting

confidence: 58%

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Primary gastric impaction in horses: A retrospective study of 20 cases (2005-2008)

Vainio¹,

Sykes

Blikslager

2010

Equine Veterinary Education

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Summary Primary gastric impaction is an uncommon condition. Furthermore, the factors associated with gastric impaction and the optimal method of treatment are not clear. The aim of this article is to describe the clinical findings, treatment and outcome of horses with a primary gastric impaction. Medical records of horses that presented with a primary gastric impaction between 2005 and 2008 were reviewed and 20 horses with a primary gastric impaction identified. Diagnosis of a primary gastric impaction was made if the horse had been fasted for a minimum of 16 h, a concretion of ingesta precluded visualisation of the margo plicatus and there was no evidence of concurrent intestinal pathology. Thirteen of 20 (65%) horses were presented on an emergency basis. The most common complaint was inappetence (50%) followed by acute colic (35%) and recurrent colic (35%). On initial examination for colic, all horses had a normal heart rate and 7 of 20 (35%) had decreased gastrointestinal borborygmi. All horses were treated with enteral fluid therapy. The median dose of fluids administered per day was 5 doses (range 1–8 doses) of 2–10 l of isotonic electrolyte solution. The median length of treatment until resolution was 2 days (range 1–5 days). Eighteen of 20 (90%) horses survived to discharge. Primary gastric impaction appears to be a condition with clinical signs of inappetence and mild abdominal discomfort. This is the largest group of horses reported that were treated with enteral fluid therapy for a gastric impaction and it was concluded that enteral fluid therapy was of value in this study.

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“…In addition, the median duration of symptoms was 3 days. In contrast, previous reports suggested that the condition is associated with severe pain (Jones et al . 1972; Barclay et al .…”

Section: Discussioncontrasting

confidence: 58%

“…Enteral fluid therapy was shown to be of value in treating gastric impactions in this study. The majority of previous reports on successful treatment have focused on surgical intervention (Jones et al . 1972; Barclay et al .…”

Section: Discussionmentioning

confidence: 99%

Primary gastric impaction in horses: A retrospective study of 20 cases (2005-2008)

Vainio¹,

Sykes

Blikslager

2010

Equine Veterinary Education

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“…Due to the severity, chronicity, advanced stage of debilitation and lack of response to initial treatment, an unfavourable long term prognosis was given to these patients, and euthanasia recommended and elected by the owners. However, it must be acknowledged that reports of successful surgical management of the condition can be found in the veterinary literature, with success apparently depending on the primary cause of the dilatation (Jones et al 1972, Owen et al 1987, Parker et al 2011). …”

Section: Discussionmentioning

confidence: 99%

Chronic gastric impaction and dilatation in horses: Clinical signs, diagnosis, treatment options and pathologic findings – A case series

Klier¹,

Blutke²,

Emrich³

et al. 2017

PHK

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Summary: The aim of this study was to summarize and evaluate clinical appearance, laboratory parameters, special ancillary diagnostic tests, treatments and post-mortem pathological findings of chronic gastric impaction and dilatation in horses. Chronic gastric impaction and dilatation is a rare, progressive disease, which is usually detected in its advanced stage. Its aetiology has not yet been fully clarified. Acute primary gastric impaction (from excess volume intake) and secondary gastric impaction (from reflux from the small intestine) must be differentiated from chronic gastric impaction and dilatation. Suspected causes of chronic gastric impaction and dilatation include pyloric stenosis, gastric ulcers, gastric tumours, indigestible feed, feed with high fibre content and dental problems. Motility disorders with resulting gastric impaction and dilatation have also been described in the context of liver diseases. Additional theories suggest damage to the vagus nerve or the intramural nervous system of the stomach and aplasia of the autonomous ganglia of the myenteric and submucosal plexus. It is a retrospective case study of four cases of chronic gastric impaction and dilatation between 2010 and 2013 concerning clinical appearance, laboratory parameters, ancillary diagnostic tests, treatment options and post-mortem pathological findings. For comparison, an additional case of delayed gastric emptying with successful conservative treatment is presented. In one case, nerve degeneration was confirmed and could possibly explain the chronic gastric impaction. A recurrent finding was the adaptive enlargement of the stomach with significant thinning of the muscularis, which was evident in all cases. This is likely to be the result of chronic dilation with a gradually prolonged filling of the stomach leading to 'stretching' of the stomach wall and therefore also a loss of motility, which could be equated to dilated cardiomyopathy, where cardiac output volume decreases with dilation. Gross pathology revealed greatly enlarged stomachs with dry impacted feed material of 43 kg, 46 kg and 108 kg. The treatment options for the disease, whether conservative or surgical depend on the severity and cause of the gastric impaction, and are said to have a very poor or unfavourable prognosis. Chronic gastric impaction can lead to a rupture of the stomach and therefore the prognosis is generally suspected to be grave. Perhaps early identification of delayed gastric emptying and chronic gastric impaction via repetitive gastroscopy could allow for a more successful treatment.

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“…1987). Possible causes of primary gastric impaction include feed stuffs that swell or form a mass after ingestion (persimmon seeds, mesquite beans, wheat, barley and sugar beet pulp), dental disease, inadequate water supply, rapid food intake and pathophysiological disturbances such as abnormal gastric motility or secretion (Jones et al . 1972; Honnas and Schumacher 1985; Owen et al .…”

mentioning

confidence: 99%

“…2011). However, some horses can have a more acute and severe clinical presentation (Jones et al . 1972; Barclay et al .…”

mentioning

confidence: 99%