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The Veterinary clinics of North America. Equine practice2023; 39(2); 211-227; doi: 10.1016/j.cveq.2023.03.007

Early Identification of Intestinal Strangulation: Why It Is Important and How to Make an Early Diagnosis.

Abstract: Horses with colic caused by intestinal strangulation can have an excellent outcome with early surgical correction of the obstruction. The expense associated with surgery is typically less with early lesion correction. The challenge is making an early diagnosis of intestinal strangulation. Although for some horses with a strangulating obstruction, the need for surgery is made based on severe colic signs or lack of response to analgesia, in other horses, it is less obvious. Signalment, history, and meticulous physical examination, combined with some targeted diagnostic procedures can help with early diagnosis of intestinal strangulation. Improving the outcome of these horses requires diligence and a team-based approach from the owner or caregiver, primary care veterinarian, and specialists.
Publication Date: 2023-04-25 PubMed ID: 37105779DOI: 10.1016/j.cveq.2023.03.007Google Scholar: Lookup
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Summary

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The research article discusses the significance of early diagnosis of intestinal strangulation in horses suffering from colic and provides strategies to identify the condition on time for timely surgical intervention.

Importance of Early Identification

  • The research article highlights the significance of early identification of intestinal strangulation in horses presenting with colic. Triaging the condition allows for early surgical correction, which vastly improves the prognosis for the affected animal.
  • Besides enhancing the health outcome, early lesion correction also results in lower medical expenses associated with surgery, thereby lessening the financial burden on the owner or caregiver.

Challenges in Early Diagnosis

  • The authors point out that the main obstacle in dealing with intestinal strangulation is making an early diagnosis. The spread of symptoms can be severe and quick in some animals, whereas the opposite might be true for others.
  • In some horses, the need for surgery is evident based on severe colic symptoms or if the horse does not respond to pain relief measures. However, in other cases, the signs of obstruction might be less noticeable, which complicates the process of diagnosis.

Strategies for Early Diagnosis

  • The article proposes a combination of approaches for early detection of intestinal strangulation. These include a thorough snags analysis – the animal’s signalment and history, followed by a meticulous physical examination.
  • These steps can be complemented by targeted diagnostic procedures, thus increasing the chances of an early diagnosis.

The Importance of Teamwork

  • The authors emphasize that a multi-disciplinary approach is crucial to enhance the health outcome of horses affected by this condition.
  • The team should comprise the owner or caregiver, the primary care veterinarian, as well as specialised vets. By working together, the team can facilitate a more accurate diagnosis, suggesting the best course of treatment, and ensuring that the horse gets the care it needs on time.

Cite This Article

APA
Southwood LL. (2023). Early Identification of Intestinal Strangulation: Why It Is Important and How to Make an Early Diagnosis. Vet Clin North Am Equine Pract, 39(2), 211-227. https://doi.org/10.1016/j.cveq.2023.03.007

Publication

ISSN: 1558-4224
NlmUniqueID: 8511904
Country: United States
Language: English
Volume: 39
Issue: 2
Pages: 211-227

Researcher Affiliations

Southwood, Louise L
  • Clinical Studies New Bolton Center, University of Pennsylvania, 382 West Street Road, Kennett Square, PA 19348, USA. Electronic address: southwoo@vet.upenn.edu.

MeSH Terms

  • Animals
  • Horses
  • Colic / diagnosis
  • Colic / surgery
  • Colic / veterinary
  • Horse Diseases / diagnosis
  • Horse Diseases / surgery
  • Horse Diseases / etiology
  • Pain / veterinary
  • Early Diagnosis