Outcome and long‐term follow‐up of 20 horses undergoing surgery for caecal impaction: A retrospective study (2000–2008)

Smith, L. C. R.; Payne, Richard J.; Smith, S. J. Boys; Bathe, A. P.; Greet, T. R. C.

doi:10.1111/j.2042-3306.2010.00087.x

Cited by 28 publications

(19 citation statements)

References 15 publications

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“…[1][2][3][4][5][6][7][8][9] Although the quality of care and rate of survival to hospital discharge for horses undergoing colic surgery have increased over the past decades and are now generally considered good, several complications can occur during the immediate postoperative period, which influence short-and long-term outcome. …”

mentioning

confidence: 99%

Indications, complications, and outcome of horses undergoing repeated celiotomy within 14 days after the first colic surgery: 95 cases (2005–2013)

Dunkel¹,

Mair²,

Marr³

et al. 2015

javma

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EQUINE Indications, complications, and prognosis for horses undergoing exploratory colic surgery for a variety of conditions have been extensively described. [1][2][3][4][5][6][7][8][9] Although the quality of care and rate of survival to hospital discharge for horses undergoing colic surgery have increased over the past decades and are now generally considered good, several complications can occur during the immediate postoperative period, which influence short-and long-term outcome. 5,10Postoperative ileus and recurring colic are considered the most commonly encountered problems and, if severe or unrelenting, might require a second celiotomy shortly after the first procedure. Little information is available about horses requiring a second abdominal surgery shortly after

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confidence: 99%

Indications, complications, and outcome of horses undergoing repeated celiotomy within 14 days after the first colic surgery: 95 cases (2005–2013)

Dunkel¹,

Mair²,

Marr³

et al. 2015

javma

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“…The option of performing a caecal bypass, by either a jejuno or ileocolostomy was considered. This is usually indicated in horses undergoing surgical treatment for caecal impactions and has a fair overall prognosis (Smith et al 2010). In the present case, however, the sheer weight of the caecum may have resulted in future episodes of colic due to tension on the dorsal mesenteric attachments, together with the potential for external obstruction of other portions of the gastrointestinal tract, due to continued expansion of the lipomatous tissue.…”

Section: Discussionmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Caecal lipomatosis as a cause of colic in a 9‐year‐old gelding

Bont¹,

Malbon²,

Sardón³

et al. 2012

Equine Veterinary Education

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Summary Lipomatosis is an uncommon cause of colic. This case report details the pre‐ and intraoperative findings of a 9‐year‐old gelding, presented with acute abdominal pain. Exploratory laparotomy revealed a massive fatty infiltrate involving an extensive portion of the base and mid‐body of the caecum. To the authors' knowledge, this is the first report of an infiltrative lipomatous lesion of the equine caecum.

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“…An example is the prospective multicentre study with long-term follow-up on horses with epiploic foramen entrapment by Archer and others, which showed that overall survival for this condition was just under 80% [13]. Lindegaard and others assessed short-term survival in a similar number of horses with nephrosplenic entrapment of the large colon and found that survival with this condition is considerably higher, at around 90% [14], while a smaller study that is valuable because long-term follow-up is included showed that only 55% of horses treated for caecal impaction survived long term [15]. It is well recognised that having had surgical colic, horses are at increased risk of having colic in future.…”

Section: What Are the Likely Outcomes Associated With Specific Forms mentioning

confidence: 99%

On the question of colic: Are answers beginning to emerge?

Marr¹

2012

Equine Veterinary Journal

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In EVJ's last issue, Dr Martin Burton challenged the veterinary world to prepare and publish systematic reviews that will inform veterinary practice [1]. Dr Burton's comments were in response to our publication of our first systematic review addressing interventions for dynamic intermittent dorsal displacement of the soft palate [2]. Clinicians looking for other, similarly robust pieces of evidence in relation to either surgical or medical interventions in the horse are likely to be rather disappointed. Nevertheless, in clinical and applied research relating to colic, numerous groups internationally are working on clinically relevant research questions relating to this major cause of equine mortality. Much early work on colic surgery was published in EVJ by Professor Barrie Edwards and his colleagues, eventually going on to establish a huge database on risk factors and outcome following colic surgery in general [3]. There is now a need to refine our questions about colic more specifically to build up evidence that will influence clinical practice. What are the risk factors and prevalence of colic for horses in specific subgroups?Parasite infection is recognised as a major risk factor for colic in many age groups and types of horses, and the spectre of multidrug anthelmintic resistance is on our horizon [4,5]. In this issue, Dr Relf and colleagues report that despite awareness of this challenge amongst UK Thoroughbred farm managers and owners, there is now a pressing need to convince them to adopt control strategies that are less dependent on anthelmintics to minimise the development of widespread resistance [6]. Increasing age is significantly associated with colic [7], and geriatric horses are more likely to have more serious forms of colic, which is reflected by increased levels of pain, lack of intestinal borborygmi and abnormal peritoneal fluid when presented to hospital compared with those found in nongeriatric horses [8]. However, the survival of geriatric horses with a strangulating lesion or requiring jejunojejunostomy was not different from that of mature horses with similar lesions, suggesting that age itself did not influence outcome in these conditions. Geriatric horses were, however, less likely to survive surgery for simple obstruction of the large colon, but again this may reflect differences in pathology rather than age per se [9]. Crib-biting has been associated with colonic obstruction [10] and epiploic foramen entrapment [11], while a study in a group of horses with various surgical and medical diagnoses showed that cribbing and windsucking were significantly associated with colic in general but not with any specific form of colic [7]. In the same study, investigators were unable to show any relationship between other repetitive behaviours or an anxious temperament and colic [7]. In this issue, Fielding and others report the results of an investigation of colic in competing endurance horses and examine both causes and outcome [12]. The majority were suffering from ileus or nonspecific colic and...

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Outcome and long‐term follow‐up of 20 horses undergoing surgery for caecal impaction: A retrospective study (2000–2008)

Abstract: Surgery for caecal impaction carries a fair prognosis for a potentially life threatening disease, in particular where caecal dysfunction is suspected.

Cited by 28 publications

References 15 publications

Indications, complications, and outcome of horses undergoing repeated celiotomy within 14 days after the first colic surgery: 95 cases (2005–2013)

Indications, complications, and outcome of horses undergoing repeated celiotomy within 14 days after the first colic surgery: 95 cases (2005–2013)

Caecal lipomatosis as a cause of colic in a 9‐year‐old gelding

On the question of colic: Are answers beginning to emerge?

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