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The Veterinary clinics of North America. Equine practice1997; 13(2); 317-340; doi: 10.1016/s0749-0739(17)30242-0

Diseases and surgery of the large colon.

Abstract: Displacements and intraluminal obstructions of the large colon carry a good to excellent prognosis for long-term recovery, and surgery for these diseases is rarely followed by short-term or long-term complications. Entrapment of the large colon over the renosplenic ligament is amenable to medical therapies so that surgery can be avoided in many cases. However, preoperative diagnosis of all nonstrangulating diseases of the large colon can be difficult. Vascular diseases of the large colon, such as thromboembolic diseases and large colon volvulus, are more difficult to treat and carry a poorer prognosis for survival.
Publication Date: 1997-08-01 PubMed ID: 9290186DOI: 10.1016/s0749-0739(17)30242-0Google Scholar: Lookup
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Summary

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The research article discusses diagnosis and treatment of various large colon diseases and obstructions, indicating positive long-term recovery outlook for certain conditions, but stresses the difficulty in treating vascular diseases, which have a grimmer prognosis.

Displacements and Obstructions of the Large Colon

  • The article begins by discussing large colon displacements and obstructions, and conveys a positive prognosis for long-term recovery. These types of issues might include problems such as physical movements of the large colon or blockages within it that prevent proper digestion or bodily functions.
  • Importantly, the article indicates that surgical procedures used to rectify these conditions seldom lead to immediate or extended complications, making them generally safe and effective treatment options.

Entrapment and Nonstrangulating Diseases of the Large Colon

  • The study moves on to address entrapment of the large colon over the renosplenic ligament. This is a condition where the large colon becomes caught or tangled around this particular ligament. These cases are manageable in many instances through non-invasive medical therapies, allowing the avoidance of surgical procedures.
  • The difficulty, the paper points out, lies primarily in effectively diagnosing “nonstrangulating” diseases – conditions that do not involve physical constriction of the colon. Due to their less obvious nature, detecting and definitive pinpointing of such diseases can be a challenging task.

Vascular Diseases of the Large Colon

  • The final part of the article focuses on vascular diseases that affect the large colon and includes conditions like thromboembolic diseases and large colon volvulus. These illnesses, characterized by abnormalities in the blood vessels in or around the large colon, are usually more challenging to manage.
  • The prognosis or long-term outlook for patients with these disorders is less optimistic. This points to the need for ongoing research and advancements in the medical field to improve these prognoses and potentially develop new treatment techniques for these severe conditions.

Cite This Article

APA
Johnston JK, Freeman DE. (1997). Diseases and surgery of the large colon. Vet Clin North Am Equine Pract, 13(2), 317-340. https://doi.org/10.1016/s0749-0739(17)30242-0

Publication

ISSN: 0749-0739
NlmUniqueID: 8511904
Country: United States
Language: English
Volume: 13
Issue: 2
Pages: 317-340

Researcher Affiliations

Johnston, J K
  • New Bolton Center, University of Pennsylvania, USA.
Freeman, D E

    MeSH Terms

    • Animals
    • Bezoars / surgery
    • Bezoars / veterinary
    • Colitis / surgery
    • Colitis / veterinary
    • Colon / blood supply
    • Colon / surgery
    • Colonic Diseases / surgery
    • Colonic Diseases / veterinary
    • Horse Diseases / surgery
    • Horses
    • Infarction / surgery
    • Infarction / veterinary
    • Intestinal Obstruction / surgery
    • Intestinal Obstruction / veterinary
    • Postoperative Care / veterinary
    • Prognosis

    References

    This article includes 53 references

    Citations

    This article has been cited 4 times.
    1. Rahmani Shahraki A, Bittar JHJ, Wisely SM, Campos-Krauer JM. A Case of Severe Abomasal Sand Impaction in a Farmed White-Tailed Deer (Odocoileus virginianus) in Florida. Animals (Basel) 2024 May 29;14(11).
      doi: 10.3390/ani14111602pubmed: 38891649google scholar: lookup
    2. Lambertini C, Zannoni A, Romagnoli N, Bombardi C, Morini M, Dondi F, Bernardini C, Forni M, Rinnovati R, Spadari A. Expression of Proteinase-Activated Receptor 2 During Colon Volvulus in the Horse. Front Vet Sci 2020;7:589367.
      doi: 10.3389/fvets.2020.589367pubmed: 33330716google scholar: lookup
    3. Manneveau GB, Robert MP, Tessier C, Bizon-Mercier C. Surgical removal of a gastric trichophytobezoar in a foal. Can Vet J 2017 Sep;58(9):926-930.
      pubmed: 28878415
    4. Abutarbush SM, Petrie L. Fatal sand impaction of the spiral colon in a 1-month-old alpaca. Can Vet J 2006 Jul;47(7):683-4.
      pubmed: 16898111