Document Detail


Postoperative complications and survival after enterolith removal from the ascending or descending colon in horses.
MedLine Citation:
PMID:  20345528     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To compare incidence of postoperative complications and survival of horses that had surgery for enterolithiasis of the ascending (AC) or descending (DC) colon.
STUDY DESIGN: Case series
ANIMALS: Horses (n=236) that had celiotomy for AC (n=97) or DC (n=139) enterolithiasis.
METHODS: Medical records (1999-2005) were reviewed for signalment, presenting clinical signs, surgical findings, postoperative complications, and short-term survival until discharge. Information on performance and survival > or = 1 year was obtained by telephone or mailed questionnaire.
RESULTS: Number of postoperative complications did not differ between groups (P=.76). The most frequently identified short-term complications for all horses were incisional problems, gastric ulceration, ileus, diarrhea, fever, and anorexia. Horses with DC enteroliths had a significantly higher incidence of anorexia (P=.04) and fever (P=.01). The most common complications after hospital discharge were incisional problems, laminitis, weight loss, and colic. Although more DC horses were euthanatized intraoperatively (P=.02), no differences were detected for horses that survived until discharge (P=.18) or > or = 1 year after discharge (P=.47).
CONCLUSIONS: Number or type of postsurgical complications or survival after surgery was not influenced by enterolith location and horses have a favorable prognosis for long-term survival after enterolith removal, regardless of site of obstruction in the colon.
CLINICAL RELEVANCE: Incidence of postoperative complications and survival are not affected by the site of enterolith obstruction in the colon.
Authors:
Rebecca L Pierce; Andrew T Fischer; Barton W Rohrbach; Andreas Klohnen
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Publication Detail:
Type:  Journal Article     Date:  2010-03-24
Journal Detail:
Title:  Veterinary surgery : VS     Volume:  39     ISSN:  1532-950X     ISO Abbreviation:  Vet Surg     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-19     Completed Date:  2010-11-02     Revised Date:  2011-04-25    
Medline Journal Info:
Nlm Unique ID:  8113214     Medline TA:  Vet Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  609-15     Citation Subset:  IM    
Affiliation:
Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Knoxville, TN 37996, USA. rpierc10@utk.edu
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MeSH Terms
Descriptor/Qualifier:
Animals
Colon, Ascending / surgery*
Colon, Descending / surgery*
Colonic Diseases / surgery,  veterinary*
Female
Horse Diseases / mortality,  surgery*
Horses / surgery
Intestinal Obstruction / surgery,  veterinary*
Male
Postoperative Complications / mortality,  veterinary*
Survival Analysis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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