Feeding management pre- and post-surgery

Mair, T. S.

doi:10.1016/b978-0-7020-3422-0.00039-0

Cited by 3 publications

(10 citation statements)

References 92 publications

(74 reference statements)

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“…Although we cannot directly extrapolate from humans to horses, it is believed that if the gastrointestinal tract is functional then EN should be encouraged. Positive indicators of a functional gastrointestinal system may include stable cardiovascular parameters, defaecation postoperatively, reasonable appetite, good borborygmi, evidence of small intestinal motility or absence of distended, amotile loops of small intestines on ultrasound examination and absence of gastric reflux [8].…”

Section: Accepted Articlementioning

confidence: 99%

“…postoperatively, and no benefit has been demonstrated in people [3][4][5][6][7]. In the initial postoperative period, it has been anecdotally suggested in the referenced textbooks that restricting the amount of feed may minimalise potential deleterious effects on the anastomosis site [8]. In uncomplicated equine cases, trophic feeding (trickle feeding small amounts initially) is performed and advocated, whereby grass and soft feeds (e.g.…”

Section: Accepted Articlementioning

confidence: 99%

“…Those horses necessitating a resection and anastomosis of the small colon had a reduced long-term survival [18]. Other hypothesised reasons for possible increased complications have been anecdotally stated in referenced text due to restricted surgical access, high bacterial content and the presence of coarse faeces [8]. Therefore, low-bulk, soft rations and mineral oil/laxatives are considered key in the initial management of these cases to minimise distension at the colotomy or anastomosis site [8].…”

Section: Accepted Articlementioning

confidence: 99%

“…human literature [3][4][5][6][7] and discussed within the referenced textbooks [8,15]. In a small single centre study of 37 horses, Valle et al (2019) identified an association with feeding and recovery time in equine colic patients after laparotomy [19].…”

Section: Accepted Articlementioning

confidence: 99%

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Equine nutrition in the post‐operative colic: Survey of Diplomates of the American Colleges of Veterinary Internal Medicine and Veterinary Surgeons, and European Colleges of Equine Internal Medicine and Veterinary Surgeons

Lawson

Sherlock

Ireland

et al. 2021

Equine Veterinary Journal

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Background Evidence is lacking concerning re‐introduction of feed and water following colic surgery. Objectives To describe current approaches of European and American specialists to re‐introduction of feed and water in adult horses following surgical treatment of common intestinal lesions, assuming an uncomplicated recovery. Study design Cross‐sectional survey. Methods Electronic invitations, with a link to the online survey, were sent to 1,430 large animal specialists, including Diplomates of the ECVS, ACVS, ECEIM and ACVIM colleges. Results The response rate was 12.6% including partial respondent data. Responses for each multiple‐choice question were between 123 and 178. Results are expressed as the percentage of the total number of responses and as a range where specific lesions are grouped together. Respondents reported that horses with large intestinal displacements were offered free choice water (63%‐65%) within 3 hours (55%‐63%), whereas horses with a small intestinal strangulating lesion were offered < 2 L water (64%‐74%) 12‐24 hours (28%‐34%) post‐operatively. Horses with a large colon displacement were offered feed within 3 hours of surgery (16%) with the majority offered feed 6‐12 hours (35%‐36%) post‐operatively. Horses with small intestinal strangulating lesions and small colon lesions were offered feed 24‐48 hours (34%‐42%) after surgery. Following small intestinal, small colon or caecal lesions, horses were re‐introduced feed in handfuls (79%‐93%) and initially with grass (41%‐54%). Horses with large colon displacements were mostly fed handfuls (49%‐50%) of forage initially, but a number of respondents would offer larger quantities such as a small bucket (35%‐37%) and predominantly of hay (50%‐51%). Main limitations Low response rate. This study did not take into account common post‐operative complications that may alter the clinical approach. Conclusions This post‐operative colic nutrition survey is the first to describe current clinical practice. Further research is required to investigate nutritional strategies in post‐operative colic cases.

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Section: Accepted Articlementioning

confidence: 99%

Section: Accepted Articlementioning

confidence: 99%

Section: Accepted Articlementioning

confidence: 99%

Section: Accepted Articlementioning

confidence: 99%

See 2 more Smart Citations

Equine nutrition in the post‐operative colic: Survey of Diplomates of the American Colleges of Veterinary Internal Medicine and Veterinary Surgeons, and European Colleges of Equine Internal Medicine and Veterinary Surgeons

Lawson

Sherlock

Ireland

et al. 2021

Equine Veterinary Journal

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“…According to Mair (), few studies have evaluated postoperatory feeding practice in order to restore the normal bowel function; even if the number of colic cases undergoing surgery is high, only a small amount of data are available to understand the association between feeding and medical patterns and horse recovery rate during the hospitalization.…”

Section: Introductionmentioning

confidence: 99%

Preliminary results on the association with feeding and recovery length in equine colic patients after laparotomy

Valle

Giusto

Penazzi

et al. 2019

Animal Physiology Nutrition

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Colic is a serious disease for horses and the nutritional management of postoperative colic patients is an extremely important field. The aim of this retrospective study was to analyse the different factors, especially related to nutritional management, that may be associated with recovery length during hospitalization after a surgical intervention for colic, using a multivariate model. Data were collected from the records of horses presented to two hospitals and undergoing surgery for colic. The length (days) of recovery was the outcome of interest and was taken into account as a reference parameter (short, medium, long). The parameters collected (patient details, preoperative clinical and laboratory examinations, postoperative parameters and post‐surgery nutritional parameters) were subjected to multivariate analysis (MCA and PCoA). A ranking class dataset was used to calculate Kendall's tau correlation of the length of recovery with respect to other parameters. Descriptive statistic to identify differences in the recovery length among groups (Kruskal–Wallis and Dunn's Multiple Comparison Test) was also performed. p value was set at < 0.05. Groups were not different in preoperative clinical parameters (BCS, PCV, total protein), postoperative parameters (time to 1st defecation, time to the end of IV fluid therapy and time to first water drinking, anaesthesia) and patient details (age). The comparison among groups revealed differences on the post‐surgical nutritional parameters. Horses with short recovery consumed higher % of DM as forages in the 24 hr compared with the horses that have a long recovery and reach the minimum DM intake in a shorter period. Both Kendall and MCA analysis confirmed that the time to first feeding had a positive association with the length of recovery. Only 37 horses undergoing colic surgery were included in the study. From a clinical standpoint, this study has shown which nutritional parameters are associated with short recovery.

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Complications Associated with Surgical Site Infections

Verwilghen

Weese

2021

Complications in Equine Surgery

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Feeding management pre- and post-surgery

Cited by 3 publications

References 92 publications

Equine nutrition in the post‐operative colic: Survey of Diplomates of the American Colleges of Veterinary Internal Medicine and Veterinary Surgeons, and European Colleges of Equine Internal Medicine and Veterinary Surgeons

Equine nutrition in the post‐operative colic: Survey of Diplomates of the American Colleges of Veterinary Internal Medicine and Veterinary Surgeons, and European Colleges of Equine Internal Medicine and Veterinary Surgeons

Preliminary results on the association with feeding and recovery length in equine colic patients after laparotomy

Complications Associated with Surgical Site Infections

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