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Peer-reviewed veterinary case report

Horse with intestinal blockage - how bypass surgery helped

By MacHarg, M A et al.·Published in Veterinary surgery : VS·1988·Illinois Equine Hospital and Clinic, United States·View original on PubMed

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Original publication title: Bypass surgery for the treatment of small intestinal ileus in the horse. A report of three cases.

Species:
horse
Colic in horsesStomach & digestionHorses

Plain-English summary

In this study, three horses with serious blockages in their small intestines didn't get better with medication, so they needed surgery to create a bypass. These horses showed signs of pain in their bellies, had swollen stomachs, fast heart rates, and their intestines felt swollen during a vet exam. Two of the horses lost weight, but they started to gain it back after the bypass was taken out. The surgery helped reduce the need for extra fluids and repeated tube feedings. Overall, the treatment was effective in improving their condition.

Abstract

The medical management of three horses with simple and strangulating small intestinal obstructions was unsuccessful and was therefore supported by surgical bypasses. Jejunocecostomies were used to treat horses with postoperative paralytic ileus that was unresponsive to medical management. These horses had abdominal pain, gastric distention, heart rate elevations greater than 60/minute, and small intestinal distention on rectal palpation. Two horses experienced weight loss which responded to bypass removal. The bypass effectively decreased the need for intravenous fluid administration and repeated nasogastric intubation.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/3256139/