Nutritional Management of the Colic Patient

Pratt-Phillips, S.E.; Geor, Raymond J.

doi:10.1002/9781119063254.ch39

Cited by 1 publication

(5 citation statements)

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“…This survey indicates that early EN is frequently practised in large colon displacements, but is less commonly undertaken for other lesions such as small intestinal strangulating lesions. The positive effects of EN in recovery and survival for the post‐operative colic have for the majority been extrapolated from the human literature 3‐7 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 cases after laparotomy 19 .…”

Section: Discussionmentioning

confidence: 99%

“… 3 , 4 , 5 , 6 , 7 In the initial post‐operative 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 (eg bran mashes or soaked fibre cubes) are first introduced followed by hay, with the quantity being gradually increased, 15 as indicated and supported by the survey results.…”

Section: Discussionmentioning

confidence: 99%

“…The positive effects of EN in recovery and survival for the post‐operative colic have for the majority been extrapolated from the 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 cases after laparotomy. 19 Those that were consuming forage within 12 hours post‐operatively had a shorter recovery time.…”

Section: Discussionmentioning

confidence: 99%

“…In uncomplicated equine cases, trophic feeding (trickle feeding small amounts initially) is performed and advocated, whereby grass and soft feeds (e.g. bran mashes or soaked fibre cubes) are first introduced followed by hay, with the quantity being gradually increased [15], as indicated and supported by the survey results.…”

Section: Accepted Articlementioning

confidence: 97%

“…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: Discussionmentioning

confidence: 99%