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Primary gastric impaction in horses: A retrospective study of 20 cases (2005-2008)

2010; Wiley; Volume: 23; Issue: 4 Linguagem: Inglês

10.1111/j.2042-3292.2010.00153.x

2042-3292

Kirsti Vainio, B. W. Sykes, Anthony T. Blikslager,

Ruminant Nutrition and Digestive Physiology

Equine Veterinary EducationVolume 23, Issue 4 p. 186-190 Primary gastric impaction in horses: A retrospective study of 20 cases (2005–2008) K. Vainio, Corresponding Author K. Vainio email: kati.vainio@fimnet.fi. Present addresses: Dr Vainio, Doforsintie 26, 10160 Degerby, Finland. Dr Sykes, 51 Fridays Creek Road, Upper Orara, Australia 2450.Search for more papers by this authorB. W. Sykes, B. W. Sykes Hyvinkaa Horse Hospital, Finland; Department of Clinical Sciences, Estonian University of Life Sciences, EstoniaSearch for more papers by this authorA. T. Blikslager, A. T. Blikslager Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, North Carolina, USASearch for more papers by this author K. Vainio, Corresponding Author K. Vainio email: kati.vainio@fimnet.fi. Present addresses: Dr Vainio, Doforsintie 26, 10160 Degerby, Finland. Dr Sykes, 51 Fridays Creek Road, Upper Orara, Australia 2450.Search for more papers by this authorB. W. Sykes, B. W. Sykes Hyvinkaa Horse Hospital, Finland; Department of Clinical Sciences, Estonian University of Life Sciences, EstoniaSearch for more papers by this authorA. T. Blikslager, A. T. Blikslager Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, North Carolina, USASearch for more papers by this author First published: 22 October 2010 https://doi.org/10.1111/j.2042-3292.2010.00153.xCitations: 20 Presented in part at the American College of Veterinary Internal Medicine Forum, Montreal, Quebec, June 2009. Read the full textAboutPDF ToolsExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Summary Primary gastric impaction is an uncommon condition. Furthermore, the factors associated with gastric impaction and the optimal method of treatment are not clear. The aim of this article is to describe the clinical findings, treatment and outcome of horses with a primary gastric impaction. Medical records of horses that presented with a primary gastric impaction between 2005 and 2008 were reviewed and 20 horses with a primary gastric impaction identified. Diagnosis of a primary gastric impaction was made if the horse had been fasted for a minimum of 16 h, a concretion of ingesta precluded visualisation of the margo plicatus and there was no evidence of concurrent intestinal pathology. Thirteen of 20 (65%) horses were presented on an emergency basis. The most common complaint was inappetence (50%) followed by acute colic (35%) and recurrent colic (35%). On initial examination for colic, all horses had a normal heart rate and 7 of 20 (35%) had decreased gastrointestinal borborygmi. All horses were treated with enteral fluid therapy. The median dose of fluids administered per day was 5 doses (range 1–8 doses) of 2–10 l of isotonic electrolyte solution. The median length of treatment until resolution was 2 days (range 1–5 days). Eighteen of 20 (90%) horses survived to discharge. Primary gastric impaction appears to be a condition with clinical signs of inappetence and mild abdominal discomfort. This is the largest group of horses reported that were treated with enteral fluid therapy for a gastric impaction and it was concluded that enteral fluid therapy was of value in this study. Citing Literature Volume23, Issue4April 2011Pages 186-190 RelatedInformation