Topic:Enterolithiasis
Enterolithiasis in horses refers to the formation of enteroliths, which are mineral concretions that develop in the intestines. These stones are primarily composed of magnesium ammonium phosphate, also known as struvite, and can vary in size and shape. Enteroliths form around a nidus, such as a small foreign object or indigestible material, and can lead to gastrointestinal obstruction or colic if they grow large enough. Factors influencing enterolith formation include diet, management practices, and genetic predisposition. This page compiles peer-reviewed research studies and scholarly articles that investigate the etiology, clinical presentation, diagnostic methods, and management strategies for enterolithiasis in equine populations.
Incidence of incisional complications after exploratory celiotomy in equids affected with enterolithiasis. This study reports the prevalence of and risk factors for incisional complications in equids after ventral midline celiotomy for enterolithiasis. This study covered the years 2008 to 2015 and included 72 equids. Enteroliths were removed from the ascending or descending colon through 1 or more enterotomies. Complications were defined as surgical site infection and/or incisional hernia formation. Follow-up by telephone questionnaire or medical records determined that 10/72 (13.9%) equids experienced complications, with 6/72 (8.3%) developing a surgical site infection and 5/72 (6.9%) a hernia. Se...
Displacement of the large colon in a horse with enterolithiasis due to changed positions observed by computed tomography. Computed tomography (CT) was performed for an 18-year-old female pony with enterolithiasis in the prone and supine positions. CT images from the prone position revealed displacement of the large dorsal colon, which contained an enterolith to the ventral side of the abdomen, and those from the supine position revealed displacement to the dorsal side. A high-density material suggestive of a metallic foreign body was also observed in the enterolith core. An enterolith (422 g, 104 mm) was surgically removed from the large dorsal colon. This caused no complications after surgery and increased the h...
Use of digital abdominal radiography for the diagnosis of enterolithiasis in equids: 238 cases (2008-2011). To evaluate the sensitivity and specificity of direct digital abdominal radiography for the diagnosis of enterolithiasis in equids and to assess the effect of the number and anatomic location of enteroliths and gas distention of the gastrointestinal tract on diagnostic sensitivity of the technique. Methods: Retrospective case series. Methods: 238 horses and ponies ≥ 1 year old that underwent digital abdominal radiography with subsequent exploratory celiotomy or postmortem examination. Methods: For each case, 3 reviewers independently evaluated radiographic views. Radiographic images were eva...
Enteroliths and other foreign bodies. This article focuses on obstructive diseases of the large intestine (large and small colons) caused by intraluminal bodies. Large intestinal obstructions from intraluminal bodies can be divided into the following categories: enteroliths or mineral concretions, bezoars (hair or plant material), and ingested foreign objects. Clinical presentation and treatment of obstructive diseases are presented in this article and are similar regardless of the cause.
Influence of diet and water supply on mineral content and pH within the large intestine of horses with enterolithiasis. To determine the effects of two diets and water supplies on intestinal pH and mineral concentrations in the colon of horses, and to identify whether differences in these parameters exist in horses with and without enterolithiasis, surgical fistulation of the right dorsal colon was performed in six adult horses, three with and three without enterolithiasis. Each horse underwent four feeding trials: grass hay and untreated water, alfalfa hay and untreated water, grass hay with filtered/softened water, and alfalfa hay with filtered/softened water. Samples of colonic contents were analyzed for pH,...
Clinical nutrition of adult horses. Horses suffering from trauma, sepsis, and severe burns need 12% to 16% of protein (dry matter basis) in their diet. Since reduced appetite may be a problem, relatively energy dense (greater than 2 Mcal DE/kg) feeds should be offered. In hepatic failure, maintenance protein requirements (8% on a dry matter basis for adult horses) should be met with feeds that are high in short branched-chain amino acids and arginine but low in aromatic amino acids and tryptophan (for example, milo, corn, soybean, or linseed meal) in addition to grass hay. Vitamins A, C, and E should also be supplemented. In cas...
Small intestinal obstruction associated with wood chewing in two horses. Although wood chewing by horses is recognised as a common vice, there are few reports of specific disease associated with the habit. Two cases of acute obstruction of the small intestine by solid aggregations of wood splinters are described in horses which were both habitual wood chewers. Details are presented of the clinical findings in these cases, including the surgical treatment of acute colic. Both horses returned to full working fitness. The authors review the syndrome of enterolithiasis in horses, and discuss the causes and significance of wood chewing as a stable vice.
Enteroliths in horses. Many cases of enteroliths were reported in the nineteenth century but the number greatly decreased in the early twentieth century. However, in recent years the number of cases in certain parts of the United States such as California has greatly increased. The reasons for the increase are obscure. The intake of nitrogen, magnesium and phosphorus (the primary components of enteroliths) from water and food is likely to be a factor. Arabians may be more likely to develop enteroliths than horses of other breeds. A nidus such as a small stone is needed because a nidus has been found in every enterol...
Hemostatic abnormalities in equine colic. Hemostatic profiles were determined in 30 horses with clinical colic. Blood samples were obtained at the time of the animal's admission, and the following hemostatic tests were done: blood platelet count, plasma fibrinogen, plasma antithrombin, prothrombin time, partial thromboplastin time, thrombin time, protamine sulfate test for soluble fibrin monomer, and fibrin-fibrinogen degradation products. The patients were categorized in retrospect, according to the cause of the colic: group 1--colic associated with colitis and/or severe diarrhea, group 2--colic associated with torsion or obstruction...
Three cases of obstruction of the small colon by a foreign body. This report describes fatal obstruction of the small colon of three horses. The obstructions were caused by irregularly shaped enteroliths of which the centres contained a foreign body, namely a guy-rope, a piece of baling twine , and a fishing-line, respectively. The diagnosis was made by post-mortem examination.