Attempted Medical Management of Suspected Ascending Colon Displacement in Horses

McGovern, Kate; Bladon, B. M.; Fraser, B. S. L.; Boston, Raymond C.

doi:10.1111/j.1532-950x.2011.00915.x

Cited by 17 publications

(17 citation statements)

References 14 publications

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“…Despite this, the current study is the first to establish a statistical association between duration of colic and treatment outcome specific to large colon volvulus. Documentation of this association reinforces the importance of reduced presurgical treatment colic duration as it affects survival in horses with large colon volvulus, and focuses future education on timely referral and its positive impact on colic treatment outcomes . Other identified factors associated with survival rate in the present study, including PCV at admission , surgical duration , operative hypotension , and post operative heart rate and manure consistency , have been similarly observed in other reports.…”

Section: Discussionsupporting

confidence: 86%

Duration of disease influences survival to discharge ofThoroughbred mares with surgically treated large colon volvulus

Hackett

Embertson

Hopper

et al. 2014

Equine Veterinary Journal

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Section: Discussionsupporting

confidence: 86%

Duration of disease influences survival to discharge ofThoroughbred mares with surgically treated large colon volvulus

Hackett

Embertson

Hopper

et al. 2014

Equine Veterinary Journal

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“…Upon rectal palpation, the left colon is most often gas distended, or sometimes impacted, and can be traced up into the nephrosplenic space. It is possible to have this condition in concurrence with another condition; therefore an accurate diagnosis is essential if nonsurgical correction is decided (Hardy et al 2000;Burns et al 2011;McGovern et al 2012).…”

Section: Diagnosismentioning

confidence: 99%

“…Nonsurgical management is more likely to be successful in horses with shorter duration of clinical signs, lower peritoneal fluid white blood cell count and less gas distension (Baird et al 1991;Johnston and Freeman 1997;Hardy et al 2000). It needs to be stressed that preoperative diagnosis is always presumptive, and errors are possible (McGovern et al 2012). Repeated thorough assessments are necessary when conservative management is elected, so that surgical treatment can be promptly provided when necessary (McGovern et al 2012).…”

Section: Treatmentmentioning

confidence: 99%

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Left dorsal displacement of the large colon in the horse

Albanese

Caldwell

2013

Equine Veterinary Education

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Left dorsal displacement of the large colon is a condition unique to the horse that results in an obstruction of the colon and signs of colic. This condition may be successfully treated medically with analgesia, i.v. or oral fluids and feed restriction, exercise with or without administration of phenylephrine, or rolling under general anaesthesia with or without administration of phenylephrine, or a combination of these conservative options. Surgical correction via standing left flank laparotomy or, more commonly, ventral midline laparotomy under general anaesthesia, is required in cases where conservative therapy is unsuccessful. Recurrence rates range from 3.2% to 21%. Surgical attempts to prevent recurrence of this condition include large colon resection, colopexy, and ablation of the nephrosplenic space.

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“…K.F. McGovern from Donnington Grove Veterinary Surgery, UK, and colleagues have recently published this retrospective case series of 127 horses with suspected large colon displacement ( McGovern et al. 2012 ).…”

Section: Ascending Colon Displacementmentioning

confidence: 99%

Highlights of recent clinically relevant papers

WRIGHT¹

2012

Equine Veterinary Education

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Preoperative diagnostic methods for digital flexor tendon sheath pathologyA.R. Fiske-Jackson and colleagues from the Royal Veterinary College, UK, have recently reported the findings of their study on the use of intrathecal analgesia and contrast radiography as preoperative diagnostic methods for digital flexor tendon sheath pathology.This study (Fiske-Jackson et al. 2012) found that contrast radiography is a useful tool for the diagnosis of pathology within the digital flexor tendon sheath. Currently, ultrasonography is the mainstay of diagnosis for manica flexoria and marginal tears of the deep digital flexor tendon (DDFT). However, the sensitivity of this technique is reported to be 38% and 71%, respectively. Use of a contrast tenogram increased the sensitivity for diagnosis of manica flexoria tears to 96% (specificity 80%). Marginal DDFT tears were diagnosed, using this technique, with a sensitivity of 57% (specificity 84%). This study also evaluated the response to intrathecal analgesia and found that horses with DDFT tears were significantly more likely to have a positive response to intrathecal analgesia than those with manica flexoria tears. This technique is a useful addition to the diagnostic evaluation of manica flexoria tears in horses.

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Attempted Medical Management of Suspected Ascending Colon Displacement in Horses

Abstract: Horses with suspected RDD or LDD of the large colon may respond to medical management including exercise.

Cited by 17 publications

References 14 publications

Duration of disease influences survival to discharge ofThoroughbred mares with surgically treated large colon volvulus

Duration of disease influences survival to discharge ofThoroughbred mares with surgically treated large colon volvulus

Left dorsal displacement of the large colon in the horse

Highlights of recent clinically relevant papers

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