Prevalence of and Risk Factors for Postoperative Ileus after Small Intestinal Surgery in Two Hundred and Thirty‐Three Horses

Abstract

Predicting with certainty which cases will develop POI remains elusive.

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

“…Unfortunately, the study 19 did not report the number of horses that were euthanized because of persistent ileus or the reasons why a second celiotomy was undertaken in some horses. 19 In the study reported here, no difference in time between surgeries was detected between horses that survived and horses that did not survive. The median time of 3 days between celiotomies probably reflects the hope that gastric reflux might cease given enough time.…”

“…[14][15][16][17][18] However, because there is a chance of spontaneous resolution of postoperative ileus and considering cost and morbidities associated with a second celiotomy, surgical intervention might be delayed for 48 to 72 hours, depending on surgeons' preference. In a study 19 investigating postoperative ileus after small intestinal surgery, mean duration of postoperative ileus was 64 ± 58 hours (median, 40 hours; range, 1 to 240 hours). Unfortunately, the study 19 did not report the number of horses that were euthanized because of persistent ileus or the reasons why a second celiotomy was undertaken in some horses.…”

“…In a study 19 investigating postoperative ileus after small intestinal surgery, mean duration of postoperative ileus was 64 ± 58 hours (median, 40 hours; range, 1 to 240 hours). Unfortunately, the study 19 did not report the number of horses that were euthanized because of persistent ileus or the reasons why a second celiotomy was undertaken in some horses. 19 In the study reported here, no difference in time between surgeries was detected between horses that survived and horses that did not survive.…”

An update on equine post‐operative ileus: Definitions, pathophysiology and management

“…While some equine studies have reported a greater risk of POI in cases with strangulating, compared with nonstrangulating, SI lesions [30,31], others have failed to identify such an association [5,7,13]. One study identified the presence of a strangulating pedunculated lipoma as a specific risk factor for POI, a finding which may reflect a dual association with both intestinal ischaemia and age, the latter also being reported as a significant risk factor for POI [34]. One study identified the presence of a strangulating pedunculated lipoma as a specific risk factor for POI, a finding which may reflect a dual association with both intestinal ischaemia and age, the latter also being reported as a significant risk factor for POI [34].…”

“…High packed cell volume (PCV) at the time of admission [5,7,31,34,35], increased serum total protein concentration [7,35] and tachycardia [5] have all been associated with an increased risk of horses developing POI. High packed cell volume (PCV) at the time of admission [5,7,31,34,35], increased serum total protein concentration [7,35] and tachycardia [5] have all been associated with an increased risk of horses developing POI.…”