Incidence, diagnosis and treatment of postoperative complications in colic cases

Hunt, Judith M.; Edwards, Glenn S.; Clarke, K.W.

doi:10.1111/j.2042-3306.1986.tb03623.x

Cited by 135 publications

(120 citation statements)

References 22 publications

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“…The most important reasons for euthanasia or causes of death during the direct post-operative period in this study were post-operative ileus and (adhesive) peritonitis. In other publications these, and endotoxic shock, are also described as the most common short-term complications (1, 3,7,13,15,17,18,19). Post-operative-ileus may have a discernable cause when it is related to necrotic intestine, obstruction at the site of anastomosis or to adhesions.…”

Section: Discussionmentioning

confidence: 99%

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Surgery: Short‐ and long‐term evaluation of surgical treatment of strangulating obstructions of the small intestine in horses: A review of 224 cases

Boom¹,

Velden

2001

Veterinary Quarterly

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SUMMARYA retrospective study was carried out of 224 horses operated for strangulating small intestine obstructions. Fiftyfour horses were euthanized and 5 horses died during surgery which means that 165 (73%) were allowed to recover. Of these, 53 horses were euthanized or died in the clinic and 112 (50%) were discharged from the hospital. Of 90 horses available for follow-up 1 year postoperatively, 76 (84%) were still alive. The most important causes of death or reasons for euthanasia in the direct post-operative period were post-operative paralytic ileus, (adhesive) peritonitis and intra-abdominal haemorrhage. After discharge from the hospital the reasons were (adhesive) peritonitis and (recurrent) colic. Of the horses which survived for at least 1 year, 16% sometimes suffered from colic, 12% experienced problems with incisional woundhealing and 4% suffered from jugular vein thrombosis. All were in good or reasonable condition and 88% performed at (approximately) the same level as before the operation. The type of surgical intervention (i.e. enterotomy, enterectomy) did not significantly influence the outcome of surgery, whereas the type of anastomosis did. End-to-end jejunojejunostomy had a better prognosis than side-toside jejunocaecostomy.It was concluded that strangulating obstructions of the small intestine still carry a poor to guarded prognosis.Mortality was highest in the direct peri-operative period.Once discharged from hospital, prognosis can be considered to be fair to good. Attempts to improve outcome should be directed at a better handling of the ileal stump during surgery and at the prevention of post-operative ileus and the formation of adhesions.

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Section: Discussionmentioning

confidence: 99%

“…Post-operative-ileus may have a discernable cause when it is related to necrotic intestine, obstruction at the site of anastomosis or to adhesions. However, in most cases it is idiopathic and extreme distension prior to surgery and compromised intestinal blood supply are then thought to play a causative role (18,19).…”

Section: Discussionmentioning

confidence: 99%

Surgery: Short‐ and long‐term evaluation of surgical treatment of strangulating obstructions of the small intestine in horses: A review of 224 cases

Boom¹,

Velden

2001

Veterinary Quarterly

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“…2). Nur wenige Autoren haben sich mit dem Thema der Nutzbarkeit und der Leistungsbereitschaft nach einer Kolikoperation beschäftigt (Ducharme et al 1983, Kopf 1984, Phillips und Walmsley 1993, Santschi et al 2000 Die Häufigkeitsverteilung der Dünndarm-und Dickdarmerkrankungen dieser Arbeit korrelierte mit denen von anderen Autoren (Hunt et al 1986, Huskamp 1982, Kopf 1984, Siebke et al 1995, Shires et al 1986). Vierundsechzig Prozent der operierten Kolikpatienten wiesen eine Erkrankung des Dickdarmes (inkl.…”

Section: Materials Und Methodenunclassified

“…Die Auswertung der Daten ergab ein Durchschnittsalter von 10 Jahren. Siebke et al (1995) Auch die Unabhängigkeit der postoperativen Komplikationen vom Alter und von der Rekonvaleszenzzeit lässt sich hiermit begründen (Hunt et al 1986). Das Alter war innerhalb der Diagnose "Dünndarmerkrankungen" bzw.…”

Section: Materials Und Methodenunclassified

Long-term follow up in horses undergoing surgical treatment of colic: Influence on pre- and post operative performance after laparotomy

Grzybowski¹,

Studer²,

Brehm³

et al. 2011

PHK

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Pferde aufgrund von Koliksymptomen in der Pferdeklinik der Universität Bern vorgestellt und behandelt. Von 282 laparotomierten und geheilt entlassen Pferden konnten 212 Patienten in einer Langzeitstudie für die Betrachtung der Leistungsbereitschaft von kolikoperierten Pferden herangezogen werden. Das Durchschnittsalter der operierten Kolikpatienten betrug 10 Jahre mit einer Standardabweichung von ±6 Jahren. Eine Abhängigkeit zwischen dem Alter und der Leistungsbereitschaft konnte statistisch nicht beobachtet werden. Bei der subjektiven Betrachtung der Leistungsfähigkeit durch die Besitzer wurden rund 83% der Patienten mit einer gleichbleibenden oder einer besseren Leistung angegeben. Beim Vergleich der subjektiven Beurteilung mit der Gewinnsumme in einem definierten Zeitraum (objektive Beurteilung) von 33 Sportpferden konnte nur in einem Drittel der Fälle eine Übereinstim-mung zwischen der objektiven und subjektiven Leistungsfähigkeit festgestellt werden. Dickdarmerkrankungen konnten bei 64% der Patienten festgestellt werden, wobei Dünndarmerkrankungen mit 36% diagnostiziert wurden. Die Diagnose hatte keinen Einfluss auf die spätere Leistung der Pferde. Bei der Betrachtung der postoperativen Komplikationen standen die Daten von nur 45 Pferden zur Verfügung, wobei keinerlei Zusammenhang mit der Leistungsbereitschaft, dem Alter oder der Diagnose beobachtet werden konnte. Vom Tierspital Bern wird eine Rekonvaleszenzzeit von 2 bis 3 Monaten vorgeschlagen, die von den meisten Besitzern auch eingehalten bzw. sogar deutlich verlän-gert wurde. Die durch die Besitzer festgelegte Rekonvaleszenzzeit hatte keinen wesentlichen Einfluss auf die spätere Nutzung oder Leistungsbereitschaft der Tiere. Zusammenfassend können wir festhalten, dass die Laparotomie in der vorliegenden Untersuchung keinen signifikanten Einfluss auf die spätere Leistungsbereitschaft der Pferde hatte.Schlüsselwörter: Kolik, Pferd, Laparotomie, Diagnose, Langzeitbetrachtung, Leistungsbereitschaft Long-term follow up in horses undergoing surgical treatment of colic: Influence on pre-and post operative performance after laparotomy Between 2002Between and 2008Between , 1916 horses with signs of colic were examinated and treated at the Equine Clinic of the University of Berne. 282 horses underwent an exploratory laparotomy and were discharged. The case records of 212 horses could be reviewed for a long-term follow up focussing on pre-and post operative performance. Mean age of the 212 horses was 10±6 years. There was no significant association between the age and the performance of the horses. 83% of the owners observed a constant, respectively an improved performance after the laparotomy. The earnings of 33 sport horses were investigated over an 18 months period as an objective measure of performance. Only one third of the sport horses showed an association between the subjective and objective performance. The most common diagnosis in this study was a large intestinal lesion (64%). In 36% of the horses a small intestine problem was recorded. There was no ...

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“…Apresenta alta incidência (KANEENE et al, 1997;TINKER et al, 1997a,b;HILLYER et al, 2001, TRAUB-DARGATZ et al, 2001MEHDI & MOHAMMAD, 2006) e alta letalidade, que varia de 6,7 a 50,0%, de acordo com o plantel equino estudado e o tipo de cólica (HUNT et al, 1986;TINKER et al, 1997a). Não é uma entidade nosológica específica e sim, um conjunto de múltiplas condições consequentes a determinadas disfunções de vísceras intra-abdominais, sendo responsável por grandes perdas econômicas devido a gastos com tratamento (TRAUB-DARGATZ et al, 2001), tempo de afastamento do equino de suas atividades normais, perdas decorrentes de infecções e abortos em éguas (SANTSCHI et al, 1991;BOENING & LEENDERTSE, 1993) e morte.…”

Section: Introductionunclassified

Perfil e distribuição da síndrome cólica em eqüinos em três unidades militares do Estado do Rio de Janeiro, Brasil

et al. 2009

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Incidence, diagnosis and treatment of postoperative complications in colic cases

Cited by 135 publications

References 22 publications

Surgery: Short‐ and long‐term evaluation of surgical treatment of strangulating obstructions of the small intestine in horses: A review of 224 cases

Surgery: Short‐ and long‐term evaluation of surgical treatment of strangulating obstructions of the small intestine in horses: A review of 224 cases

Long-term follow up in horses undergoing surgical treatment of colic: Influence on pre- and post operative performance after laparotomy

Perfil e distribuição da síndrome cólica em eqüinos em três unidades militares do Estado do Rio de Janeiro, Brasil

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