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1.
E. A. Taylor J. D Lillich N. Canada L. Beard J. Henningson L. Schumacher 《Equine Veterinary Education》2014,26(9):477-480
A 13‐year‐old Thoroughbred gelding was presented for evaluation of recurrent colic of 4 weeks duration. These colic episodes were mild and responsive to medical therapy. Episodes of colic became more frequent and more painful. Exploratory laparotomy revealed a large intestine duplication with a cystic structure located at the caecocolic junction that was unable to be exteriorized and therefore not amenable to surgical correction. Thirty‐six hours following surgery, the horse became acutely painful, sweaty, and febrile suggesting gastrointestinal rupture. Post mortem examination showed a 0.6 × 1 m duplication and a 0.5 × 0.6 m cystic dilation that was probably associated with the caecum. There was a 10 × 30 cm area of rupture located within the duplication. Histological evaluation confirmed the presence of a true duplication. 相似文献
2.
A 17‐year‐old gelding was presented with mild to moderate signs of colic. Exploratory laparotomy revealed an intussusception of ileum and jejunum into the caecum. The starting point of the intussusception was an intramural mass in the jejunum. Half a metre of jejunum was resected and the horse recovered without complications. Histopathology and immunohistochemistry revealed a myxoma with no myogenic or neurogenic origin. 相似文献
3.
L. Hunt E. Paterson H. Sare C. Kearney H. McAllister F. David 《Equine Veterinary Education》2013,25(1):15-20
A gelding was referred for colic and inguinal wound evaluation. Abdominal ultrasound showed distended, oedematous and immotile small intestine abaxial to the spleen. An exploratory laparotomy revealed jejunal incarceration through a rent in the gastrosplenic ligament (GSL). The rent in the GSL was opened and surgical correction (resection and anastomosis of nonviable jejunum) performed. The GSL was left open. The horse recovered uneventfully and one year after surgery no further episodes of colic have been observed. 相似文献
4.
Clinical evaluation of a jejunojejunal end‐to‐end anastomosis with skin staples with or without coverage by a mesenteric flap 
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下载免费PDF全文 This study describes a novel end‐to‐end‐jejunojejunal‐anastomotic technique using skin staples following resection of compromised small intestine. Five horses were referred with colic and underwent exploratory laparotomy, resection and anastomosis. No long‐term complications were recorded at 12 months. This safe and effective technique may be used in equine gastrointestinal surgery. 相似文献
5.
An 11‐year‐old Italian Saddlebred showjumper mare was referred for investigation of recurrent colic. The mare had undergone surgery for left dorsal displacement of the ascending colon 5 years previously and had subsequently experienced several episodes of colic that had responded to medical treatment. Due to deterioration of the mare's clinical condition in the last episode, characterised by unrelenting pain and worsening of the cardiovascular parameters, the mare underwent repeat surgery for suspected colonic displacement. Exploratory laparotomy revealed a complete rupture of the mesocolon of the ascending colon. The mesocolon was repaired and the mare recovered uneventfully. She returned to training and competition and only a single episode of mild transient colic was recorded in the follow‐up. 相似文献
6.
Congenital Abnormality of the Vagina Complicated by Haemato‐Pyocolpos in a 1‐Year Labrador Retriever 下载免费PDF全文
下载免费PDF全文 A 1‐year‐old female Labrador retriever was referred with a few days history of haematic‐like vulvar discharge. Physical examination, vaginal inspection and palpation did not reveal any remarkable finding. Transabdominal ultrasound showed echogenic fluid accumulation in the vagina suggesting haemato‐pyocolpos. An exploratory laparotomy was performed: a well‐delimited ectasic vagina was identified. Ovariohysterectomy and partial vaginectomy and vaginoplasty were performed to spay the bitch and to remove the ectasic vagina. Post‐operative recovery and 12‐month follow‐up were uneventful. Clinical, morphological and histological findings were consistent with a congenital abnormality of the muscular layer of the vagina complicated by haemato‐pyocolpos. The disorganization of the vaginal tunica muscularis may have acted as locus minoris resistentiae in the vaginal wall. The organ was dilated and atonic due to the gradual accumulation of physiological fluids complicated by an overgrowth of genital bacteria. This congenital disorder has to be taken into account as differential diagnosis of haemato‐pyocolpos with vaginal discharge in young bitches. 相似文献
7.
An 18‐month‐old pony filly was examined for acute colic and abdominal distension. The signs of colic failed to resolve following analgesic treatment. At exploratory laparotomy, a right dorsal displacement of the large colon was identified and corrected. On recovery from anaesthesia, the pony developed signs of widespread myopathy, confirmed by serum biochemistry evaluations. Myopathy consistent with atypical myoglobinuria was confirmed post mortem. 相似文献
8.
An aged mare belonging to Iowa State University was evaluated for colic. Surgery was performed and two tumors were identified. A leiomyoma of the jejunum was isolated and removed although apparently not causing clinical problems. A strangulating lipoma was also found, requiring resection and anastomosis of the jejunum. The mare died two days post surgery from a ruptured stomach. Pathological features of the case are discussed. 相似文献
9.
A young female Boxer had a history of chronic soft stool. Survey abdominal radiographs were unremarkable. A duodenal diverticulum was identified in abdominal ultrasound and barium upper-gastrointestinal contrast examinations. Before surgery a 99m Tc-pertechnetate study was performed to evaluate for ectopic gastric mucosa in the duodenal diverticulum. Focal abnormal increased radioactivity was identified in the right caudal abdominal quadrant. The diverticulum was excised. Upon histopathologic examination of the duodenal diverticulum, ectopic gastric mucosa was not identified but ectopic pancreatic tissue was found. Mild eosinophilic inflammation within the diverticulum was suspected to be the cause of the mild 99m Tc uptake seen in this dog. 相似文献
10.
Kinga Pápa DVM Roland Psáder DVM Ágnes Sterczer DVM PhD Ákos Pap PhD DSc Minna Rinkinen DVM PhD Thomas Spillmann Dipl Vet Med Dr Med Vet 《Journal of Veterinary Emergency and Critical Care》2009,19(6):554-563
Objective – To evaluate a method for endoscopically guided nasojejunal tube placement allowing short‐term postduodenal feeding and chyme withdrawal in dogs. Design – Pilot study. Setting – University teaching hospital. Animals – Three healthy Beagle dogs with jejunal nipple valve fistulas. Interventions – After the dogs were anesthetized, an 8 Fr, 250‐cm polyvinyl chloride catheter was advanced through a gastroscope into the jejunum. Correct jejunal placement was established using endoscopic visualization and confirmed by fluoroscopy and radiography. The proximal end of the tube was pulled out through 1 nostril and sutured to the skin of the forehead. Thereafter, jejunal feeding was administered for 4 days. Follow‐up examinations included daily confirmation of the tube's position using radiography, physical examination, and blood analyses. Withdrawal of jejunal chyme was performed after jejunal and oral feeding. Measurements and Main Results – Fluoroscopic examination confirmed that endoscopic visualization alone allowed correct jejunal placement. During a 4‐day postduodenal feeding period, repeated radiographic examination revealed stable positioning of the tubes within the jejunum with minor cranial displacement. The tubes were functional throughout the study without causing identifiable problems. Repeated physical examinations and blood analysis showed no abnormalities. We were able to administer the daily caloric requirements as a liquid diet. Jejunal chyme was successfully withdrawn via the tube. Conclusions – Endoscopically guided nasojejunal tube placement was shown to be a minimally invasive, well‐tolerated method for short‐term jejunal feeding in healthy dogs. This technique is a viable option for dogs requiring jejunal feeding but not laparotomy. The feasibility of chyme sampling is another unique application of the procedure. 相似文献
11.
L. C. R. SMITH R. J. PAYNE S. J. BOYS SMITH A. P. BATHE T. R. C. GREET 《Equine veterinary journal》2010,42(5):388-392
Reasons for performing study: If untreated, caecal impaction may progress to rupture of the caecum and reports of long‐term outcome for horses undergoing surgery for caecal impaction are required. Objectives: To describe short‐ and long‐term complication rates for horses undergoing surgery for caecal impaction in an otherwise life‐threatening gastrointestinal condition. Methods: Case records were reviewed for horses undergoing surgery for caecal impaction. Horses were included in the study if an abnormally large, fluid‐distended or feed‐impacted caecum was the primary diagnosis at surgery and excluded if the caecum had already ruptured upon opening the abdomen, necessitating euthanasia. Short‐term follow‐up data were obtained from clinical records; and included complications, repeat celiotomy and survival to discharge. Long‐term survival was defined as survival for >1 year post operatively. Long‐term follow‐up data were obtained through telephone interviews with owners and referring veterinary surgeons. Survival, occurrence of post operative colic and subsequent use of the horse were recorded. Results: Twenty horses underwent surgery for caecal impaction: 16 horses underwent caecal bypass (typhlotomy and removal of caecal contents, ileal transection followed by ileocolostomy); 3 underwent typhlotomy alone; and one horse underwent typhlotomy followed by a second procedure where caecal bypass was performed. Five horses (25%) were admitted for colic evaluation with primary caecal impactions, in 10/20 (50%) of cases the impaction was secondary to previous orthopaedic surgery and in 5/20 (25%) caecal impaction was identified at repeat celiotomy following a previous colic surgery. Sixty‐five percent (13/20) of horses survived to discharge; 11/13 (85%) of horses discharged survived long term; 100% (3/3) horses that received typhlotomy alone were discharged and survived long term. Conclusions: The prognosis following caecal impaction surgery is fair, if the horse survives to discharge then prognosis for long‐term survival is good. Potential relevance: Surgery for caecal impaction carries a fair prognosis for a potentially life threatening disease, in particular where caecal dysfunction is suspected. 相似文献
12.
A 12-year-old American Quarter Horse gelding presented for evaluation of colic signs. The patient was diagnosed with a gastrosplenic entrapment at surgery. The entrapment was reduced, a jejunoileostomy was performed removing approximately 1m of jejunum and distal ileum, and the patient recovered uneventfully from anesthesia. The patient was discharged 12 days postoperatively. The same horse represented 17 months after the initial surgery for evaluation of signs of colic. A small intestinal strangulation was diagnosed based on the clinical and laboratory examination findings. It was elected to euthanize the horse. Necropsy examination diagnosed a gastrosplenic ligament entrapment of the mid-to-distal jejunum. 相似文献
13.
Oral administration of synthetic porcine beta‐defensin‐2 improves growth performance and cecal microbial flora and down‐regulates the expression of intestinal toll‐like receptor‐4 and inflammatory cytokines in weaned piglets challenged with enterotoxigenic Escherichia coli 下载免费PDF全文
下载免费PDF全文 Zhiru Tang Ling Xu Baoshi Shi Huang Deng Xin Lai Jingyan Liu Zhihong Sun 《Animal Science Journal》2016,87(10):1258-1266
Synthetic porcine beta‐defensin‐2 (pBD‐2) was tested as an alternative to antimicrobial growth‐promoters in pig production. Thirty 21‐day weaned piglets were challenged with enterotoxigenic Escherichia coli, and orally dosed with either sterile water (CON), pBD‐2 (BD) or neomycin sulphate (NS) twice daily for 21 days. pBD‐2 and NS led to higher growth performance, jejunum villus height and increased expression of insulin‐like growth factor‐I compared with the CON group (P < 0.05). Hemolytic E. coli scores from rectal swabs, and copy numbers of E. coli, Bacteroides fragilis and Streptococcus in the cecal digesta of the BD‐ or NS‐treated piglets were lower than those in the CON group (P < 0.05). Messenger RNA levels of toll‐like receptor 4, tumor necrosis factor‐α, interleukin (IL)‐1β, and IL‐8 in the jejunum mucosa of the BD and NS groups were lower than those in the CON group (P < 0.05). Copy numbers of Lactobacilli and Bifidobacteria in the cecal digesta of the BD group were higher than those of the CON and NS groups (P < 0.05). Therefore, pBD‐2 has antimicrobial activity in piglets, and it can improve growth performance, reduce inflammatory cytokine expression and affect intestinal morphological indices in the same way as probiotics. © 2015 Japanese Society of Animal Science 相似文献
14.
Although diagnosis and treatment of horses with colic have improved in the last 30 years, horses with recurrent colic can be a diagnostic and management challenge for both owners and veterinarians, and colic remains a high priority health concern of owners (Mellor et al. 2001 ). Nutritional management of these cases is often based on previous experience combined with recommendations from the evidence‐based literature. This review will briefly summarise the aetiologies of recurrent colic and primarily focus on evidence‐based nutritional management of colonic impactions, sand enteropathy, inflammatory bowel disease, and idiopathic recurrent colic, which is limited. Additional topics to be covered elsewhere in this series that are relevant to this topic include nutritional management of gastric ulceration, liver disease, colitis, geriatric horses, and feeding the horse pre‐ and post surgery. 相似文献
15.
Aortic rupture causing cardiac tamponade in a 24‐day‐old Friesian colt with concurrent colonic Chlamydiosis and Balantidiasis 下载免费PDF全文
下载免费PDF全文 M. Diel de Amorim K. Nielsen B. McKell Y. Huang C. Card 《Equine Veterinary Education》2016,28(2):68-73
A 24‐day‐old Friesian colt died suddenly and a physical examination the morning the foal died showed no abnormalities and serum IgG levels >8.0 g/l. Necropsy examination revealed haemopericardium and a 2 cm transverse tear at the root of the aorta. The foal was also found to have Chlamydophila spp. in the epithelium and Balantidium coli on the mucosal surface of the large colon. An aortic rupture is a novel finding in a foal, colonic Chlamydiosis has not been previously reported in horses and Balantidium coli has not been reported in equids in North America. 相似文献
16.
A. Di Salvo M. Giorgi S. Nannarone H. K. Lee J. Corsalini G. della Rocca 《Journal of veterinary pharmacology and therapeutics》2018,41(3):369-373
NSAID s are often used in horses with colic syndrome during the postoperative period, due to their ability to contrast endotoxemia and to promote an analgesic and anti‐inflammatory effect. As the pharmacokinetics of a drug are often modified in unhealthy animals compared to healthy subjects, the aim of this study was to evaluate the pharmacokinetic profile of meloxicam after i.v. administration in horses undergoing laparotomy for colic syndrome. Eight horses received 0.6 mg/kg of meloxicam i.v. towards the end of surgery. Blood samples were taken at scheduled time points during the following 24 hr. The serum concentration of the drug was determined by HPLC . Terminal half‐life (6.88 ± 2.96 hr), volume of distribution at steady‐state (186.53 ± 61.20 ml/Kg) and clearance (27.91 ± 5.72 ml kg?1 hr?1) were similar to those reported in literature for healthy horses. This result suggests that no adjustment of the approved dose should be necessary when meloxicam is used to treat horses in the immediate postoperative period after surgery for colic syndrome. 相似文献
17.
J. R. Mayer C. L. Fielding N. Pusterla K. G. Magdesian J. C. Higgins 《Equine Veterinary Education》2014,26(12):619-621
A 3.5‐year‐old miniature horse gelding was evaluated for signs of colic and decreased faecal production. Initial clinical pathology showed severe hypoproteinaemia with an albumin concentration <10 g/l. Abdominal ultrasound identified multiple loops of small intestine with significantly increased wall thickness. Diagnosis of equine proliferative enteropathy was based on clinical and laboratory findings, as well as a positive faecal polymerase chain reaction and positive antibody titre (>1:240) to Lawsonia intracellularis. Treatment with intravenous oxytetracylcine and additional supportive care gradually resolved the clinical and laboratory abnormalities. 相似文献
18.
During a laparotomy for colic signs in a 2-year-old male Thoroughbred, a portion of approximately 7 m of the jejunum was found entrapped in a fibrous band originating from the nephrosplenic ligament. The entrapped jejunum was necrotic and was removed. Two months after the first surgery, a laparoscopy was performed to close the nephrosplenic space and it was possible to identify several fibrous bands bridging from the renal capsule to the splenic capsule and a fibrotic plate over the spleen. This is the first report of a strangulating obstruction of the jejunum in the nephrosplenic space and of fibrous bands bridging from the nephrosplenic ligament to the spleen. The fibrous bands were likely due to inflammation caused by previous, multiple left dorsal displacements of the bowel, which resolved spontaneously. 相似文献
19.
CHRISTINA M. ELLIS DVM TIMOTHY M. LYNCH DVM Diplomate ACVS DONNIE E. SLONE DVM Diplomate ACVS FAITH E. HUGHES DVM Diplomate ACVS CAROL K. CLARK DVM Diplomate ACVIM 《Veterinary surgery : VS》2008,37(8):786-790
Objective— To report complications and survival after large colon resection and end‐to‐end anastomosis in horses with strangulating large colon volvulus. Study Design— Retrospective case series. Animals— Horses (n=73) with strangulating large colon volvulus. Methods— Records (January 1995 to December 2005) of horses that had large colon resection and anastomosis for strangulating large colon volvulus were reviewed for complications. Follow‐up data were obtained by telephone questionnaire at least 1 year postoperatively. Cox proportional hazards model was used for multivariate association with survival time. Variables included admission date, age, temperature, heart rate, packed cell volume, total plasma protein concentration, white blood cell count, breed, and sex. Significance was set at P<.05. Results— The most common postoperative complication was diarrhea. None of the 9 variables of interest were significant for survival. Short‐term survival rate (to discharge) was 74%. Overall survival rates at 1, 2, and 3 years postoperatively were 67.8%, 66.0%, and 63.5%, respectively. Four horses died of colic in the first year after surgery. All horses surviving long‐term (>1 year) returned to their intended use (37 brood mares, 2 racehorses, and 1 show horse) with no chronic problems related to the surgical procedure. Conclusion— None of the variables examined were associated with survival. Outcomes were similar to other large studies of surgical colic in the horse. Self‐limiting diarrhea is common after large colon resection and the prognosis for survival after hospital discharge is favorable. Clinical Relevance— Horses that survive the early postoperative period and are discharged after large colon resection and anastomosis have a good chance for long‐term survival with minimal negative impact on quality of life and use. 相似文献
20.
Daming Sun Lixiang Liu Shengyong Mao Weiyun Zhu Junhua Liu 《Journal of animal physiology and animal nutrition》2019,103(5):1338-1350
The objective of this study was to test the hypothesis that aspartame supplementation in starter diet accelerates small intestinal cell cycle by stimulating secretion and expression of glucagon‐like peptide ?2 (GLP‐2) in pre‐weaned lambs using animal and cell culture experiments. In vivo, twelve 14‐day‐old lambs were selected and allocated randomly to two groups; one was treated with plain starter diet (Con, n = 6) and the other was treated with starter supplemented with 200 mg of aspartame/kg starter (APM, n = 6). Results showed that the lambs received APM treatment for 35 d had higher (p < .05) GLP‐2 concentration in the plasma and greater jejunum weight/live body weight (BW) and jejunal crypt depth. Furthermore, APM treatment significantly upregulated (p < .05) the mRNA expression of cyclin D1 in duodenum; and cyclin A2, cyclin D1, cyclin‐dependent kinases 6 (CDK6) in jejunum; and cyclin A2, cyclin D1, CDK4 in ileum. Moreover, APM treatment increased (p < .05) the mRNA expression of glucagon (GCG), insulin‐like growth factor 1 (IGF‐1) in the jejunum and ileum and mRNA expression of GLP‐2 receptor (GLP‐2R) in the jejunum. In vitro, when jejunal cells were treated with GLP‐2 for 2 hr, the 3‐(4,5‐dimethyl‐2‐thiazolyl)‐2,5‐diphenyl‐2‐H‐tetrazolium bromide (MTT) OD, IGF‐1 concentration, and the mRNA expression of IGF‐1, cyclin D1 and CDK6 were increased (p < .05). Furthermore, IGF‐1 receptor (IGF‐1R) inhibitor decreased (p < .05) the mRNA expression of IGF‐1, cyclin A2, cyclin D1 and CDK6 in GLP‐2 treatment jejunal cells. These results suggest that aspartame supplementation in starter accelerates small intestinal cell cycle that may, in part, be related to stimulate secretion and expression of GLP‐2 in pre‐weaning lambs. Furthermore, GLP‐2 can indirectly promote the proliferation of jejunal cells mainly through the IGF‐1 pathway. These findings provide new insights into nutritional interventions that promote the development of small intestines in young ruminants. 相似文献