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Home / Equine Research Bank / Equine Vet J / Clinical features and management of equine post operative il...
Equine veterinary journal2015; 48(6); 714-719; doi: 10.1111/evj.12520

Clinical features and management of equine post operative ileus (POI): Survey of Diplomates of the American Colleges of Veterinary Internal Medicine (ACVIM), Veterinary Surgeons (ACVS) and Veterinary Emergency and Critical Care (ACVECC).

Abstract: A recent survey of European Colleges (European College of Equine Internal Medicine [ECEIM] and European College of Veterinary Surgeons [ECVS]) revealed the different strategies implemented by, and some of the challenges facing, European clinicians presented with cases of post operative ileus (POI). It was concluded that further comparative analysis of opinions, canvassed from additional colleges of equine veterinary specialism worldwide, would provide valuable additional insight into current POI knowledge on a more global scale. Objective: To report and compare the current strategies favoured by American veterinary specialists when managing POI in horses that underwent emergency colic surgery. Methods: Cross-sectional survey. Methods: Electronic invitations were sent to 814 Large Animal specialists, including 3 colleges: the American College of Veterinary Internal Medicine (ACVIM), American College of Veterinary Surgeons (ACVS) and the American College of Veterinary Emergency and Critical Care (ACVECC). Results: The response rate was 14% (115/814). The majority of respondents (68%) reported an estimated prevalence range of POI of 0-20%. The presence of reflux on nasogastric intubation was the main criterion used to define POI. A lesion involving the small intestine was considered the main risk factor for POI. Anti-inflammatory drugs, intravenous (i.v.) fluids and antimicrobial drugs were the primary strategies used when managing POI. Flunixin meglumine and i.v. lidocaine were the drugs most commonly used in the treatment of horses with POI. Supplementary management strategies targeted mainly the prevention of post operative adhesions, infection and inflammation. Conclusions: There is a lack of consensus on the clinical definition of POI. Prospective and objective clinical assessment of the effectiveness of the different strategies contained within this and the European survey is necessary in order to identify a standardised approach to the management of equine POI.
© 2015 EVJ Ltd.
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Publication Date: 2015-12-01 PubMed ID: 26502215DOI: 10.1111/evj.12520Google Scholar: Lookup
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Summary

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The research studies the clinical management and features of post operative ileus (POI) in horses from the perspectives of members of three veterinary colleges in America. This is an attempt to gain deeper understanding and insight into the varying strategies worldwide, given that such a survey had already been conducted in Europe.

Objective and Methodology

The objective of this study was to report and compare the different methods preferred by American veterinary specialists managing POI in horses that have undergone emergency colic surgery.

  • The researchers conducted a cross-sectional survey to gather their data.
  • Electronic invitations were sent out to 814 large animal specialists, which include members of the American College of Veterinary Internal Medicine (ACVIM), American College of Veterinary Surgeons (ACVS), and the American College of Veterinary Emergency and Critical Care (ACVECC).

Results

  • The response to the survey was not overwhelming with only a rate of 14% (115/814).
  • Majority of respondents (68%) estimated the prevalence of POI between 0-20%.
  • A significant part of respondents used the presence of reflux on nasogastric intubation as a criterion to define POI.
  • Majority believed a lesion on the small intestine is the primary risk factor for developing POI.
  • Most of the respondents use anti-inflammatory drugs, intravenous (IV) fluids, and antimicrobial drugs as the primary strategies in managing POI.
  • The most commonly used drugs in the treatment of horses with POI were Flunixin meglumine and IV lidocaine.
  • Supplementary strategies were mostly focused on prevention of post-operative adhesions, infections, and inflammations.

Conclusion

The study concluded with an observed lack of consensus on the clinical definition and treatment of POI. The researchers call for a prospective and objective clinical assessment of the various strategies portrayed in this study and the previous European version. The aim of such an assessment is to identify a standardized approach to the management of equine POI.

Cite This Article

APA
Lefebvre D, Hudson NP, Elce YA, Blikslager A, Divers TJ, Handel IG, Tremaine WH, Pirie RS. (2015). Clinical features and management of equine post operative ileus (POI): Survey of Diplomates of the American Colleges of Veterinary Internal Medicine (ACVIM), Veterinary Surgeons (ACVS) and Veterinary Emergency and Critical Care (ACVECC). Equine Vet J, 48(6), 714-719. https://doi.org/10.1111/evj.12520

Publication

Equine veterinary journal
ISSN: 2042-3306
NlmUniqueID: 0173320
Country: United States
Language: English
Volume: 48
Issue: 6
Pages: 714-719

Researcher Affiliations

Lefebvre, D
  • The Royal (Dick) School of Veterinary Studies and Roslin Institute, University of Edinburgh, Roslin, Midlothian, UK.
Hudson, N P H
  • The Royal (Dick) School of Veterinary Studies and Roslin Institute, University of Edinburgh, Roslin, Midlothian, UK.
Elce, Y A
  • Centre Hospitalier Universitaire Vétérinaire de l'Université de Montréal, Saint-Hyacinthe, Québec, Canada.
Blikslager, A
  • College of Veterinary Medicine, North Carolina State University, Raleigh, USA.
Divers, T J
  • College of Veterinary Medicine, Cornell University, Ithaca, New York, USA.
Handel, I G
  • The Royal (Dick) School of Veterinary Studies and Roslin Institute, University of Edinburgh, Roslin, Midlothian, UK.
Tremaine, W H
  • Department of Clinical Veterinary Science, University of Bristol, Langford, Bristol, UK.
Pirie, R S
  • The Royal (Dick) School of Veterinary Studies and Roslin Institute, University of Edinburgh, Roslin, Midlothian, UK. scott.pirie@ed.ac.uk.

MeSH Terms

  • Animals
  • Colic / surgery
  • Colic / veterinary
  • Cross-Sectional Studies
  • Data Collection
  • Horse Diseases / diagnosis
  • Horse Diseases / etiology
  • Horses
  • Intestinal Pseudo-Obstruction / etiology
  • Intestinal Pseudo-Obstruction / therapy
  • Intestinal Pseudo-Obstruction / veterinary
  • Intestine, Small / pathology
  • Postoperative Complications / diagnosis
  • Postoperative Complications / therapy
  • Postoperative Complications / veterinary
  • Surveys and Questionnaires
  • United States
  • Veterinarians

Citations

This article has been cited 7 times.
  1. Vitale V, Bindi F, Velloso Alvarez A, de la Cuesta-Torrado M, Sala G, Sgorbini M. Transcutaneous Auricular Vagal Nerve Stimulation in Healthy Non-Sedated Horses: A Feasibility Study. Vet Sci 2024 May 28;11(6).
    doi: 10.3390/vetsci11060241pubmed: 38921988google scholar: lookup
  2. Rockow M, Griffenhagen G, Landolt G, Hendrickson D, Pezzanite L. The Effects of Antimicrobial Protocols and Other Perioperative Factors on Postoperative Complications in Horses Undergoing Celiotomy: A Retrospective Analysis, 2008-2021. Animals (Basel) 2023 Nov 19;13(22).
    doi: 10.3390/ani13223573pubmed: 38003189google scholar: lookup
  3. Byrne CA, Hotchkiss JW, Barakzai SZ. Variations in the application of equine prosthetic laryngoplasty: A survey of 128 equine surgeons. Vet Surg 2023 Feb;52(2):209-220.
    doi: 10.1111/vsu.13913pubmed: 36420588google scholar: lookup
  4. Hellstrom EA, Ziegler AL, Blikslager AT. Postoperative Ileus: Comparative Pathophysiology and Future Therapies. Front Vet Sci 2021;8:714800.
    doi: 10.3389/fvets.2021.714800pubmed: 34589533google scholar: lookup
  5. Freeman DE. Effect of Feed Intake on Water Consumption in Horses: Relevance to Maintenance Fluid Therapy. Front Vet Sci 2021;8:626081.
    doi: 10.3389/fvets.2021.626081pubmed: 33732739google scholar: lookup
  6. Beder NA, Mourad AA, Aly MA. Ultrasonographic evaluation of the effects of the administration of neostigmine and metoclopramide on duodenal, cecal, and colonic contractility in Arabian horses: A comparative study. Vet World 2020 Nov;13(11):2447-2451.
    doi: 10.14202/vetworld.2020.2447-2451pubmed: 33363340google scholar: lookup
  7. Lawson AL, Sherlock CE, Ireland JL, Mair TS. Equine nutrition in the post-operative colic: Survey of Diplomates of the American Colleges of Veterinary Internal Medicine and Veterinary Surgeons, and European Colleges of Equine Internal Medicine and Veterinary Surgeons. Equine Vet J 2021 Sep;53(5):1015-1024.
    doi: 10.1111/evj.13381pubmed: 33174212google scholar: lookup
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