Document Detail


The clinical and pathological features of gastric impaction in twelve horses.
MedLine Citation:
PMID:  23186199     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
REASONS FOR PERFORMING STUDY: Gastric impaction in the horse is poorly described in the veterinary literature.
OBJECTIVES: To review the clinical and pathological features of gastric impaction.
METHODS: The clinical details of horses presenting with colic over a 7-year period and cases in which gastric impaction was considered to determine the outcome were reviewed. Clinical and clinicopathological data were recorded.
RESULTS: Twelve cases of gastric impaction were recorded (1.4% of 857 horses hospitalised for colic). Diagnosis was achieved by ultrasonographic examination, gastroscopy, exploratory celiotomy and/or post mortem examination. Five out of 12 horses were successfully treated, 5/12 were subjected to euthanasia (3 at celiotomy and 2 due to recurrence of impaction) and 2/12 died. Three out of 12 horses had spontaneous gastric rupture despite attempted treatment (one was subjected to euthanasia at celiotomy and 2 died). Post mortem examination (7 horses) revealed gross muscular thickening of the stomach wall in 6/7 horses. Histological examination revealed focal fibrosis of the stomach wall in 4/6 and focal myositis in 1/6 horses. CONCLUSIONS AND PRACTICAL SIGNIFICANCE: Gastric impaction is a rare cause of colic and affected horses can present with acute, chronic or recurrent colic in the presence or absence of other gastrointestinal disease. Spontaneous gastric rupture may occur. A proportion of affected horses have gross thickening of the muscular layers of the stomach wall.
Authors:
A R Bird; E J Knowles; C E Sherlock; G R Pearson; T S Mair
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Equine veterinary journal     Volume:  44 Suppl 43     ISSN:  2042-3306     ISO Abbreviation:  Equine Vet. J.     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-11-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0173320     Medline TA:  Equine Vet J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  105-10     Citation Subset:  IM    
Copyright Information:
© 2012 EVJ Ltd.
Affiliation:
Bell Equine Veterinary Clinic, Mereworth, UK.
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