Analyze Diet

Ileal impaction and jejunal enterotomy in a 4-month-old Arabian filly.

Abstract: A 4-month-old Arabian filly was treated by surgical correction of an ileal impaction. The impaction was resolved through a distal jejunal enterotomy. One-year follow-up showed no post-operative complications secondary to the enterotomy. Jejunal enterotomy may be a surgical option for resolution of an ileal impaction. Une pouliche Arabe âgée de 4 mois a été traitée par la correction chirurgicale d’une surcharge iléale. La surcharge a été résolue par une entérotomie jéjunale distale. Un suivi d’un an n’a pas montré de complications postopératoires suite à l’entérotomie. L’entérotomie jéjunale peut représenter une option chirurgicale pour la résolution d’une surcharge iléale. (Traduit par Isabelle Vallières)
Publication Date: 2012-07-04 PubMed ID: 22753967PubMed Central: PMC3239153
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Case Reports
  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

The research article discusses the treatment of a 4-month-old Arabian filly’s ileal impaction through surgical correction and demonstrates that this method, known as jejunal enterotomy, resulted in no post-operative complications after a year.

Introduction

  • The research focused on a 4-month-old Arabian filly that was diagnosed with ileal impaction.
  • Ileal impaction is a medical condition where a portion of the intestine (ileum) becomes impacted or blocked, usually due to ingestion of foreign material or a buildup of food or other waste.

Surgical Correction

  • To treat the ileal impaction, the researchers performed a surgical correction known as a jejunal enterotomy.
  • A jejunal enterotomy is a surgical procedure where an incision is made into the jejunum (part of the small intestine) to remove the impaction.
  • The decision to use this particular method was likely influenced by the severity of the impaction and its location in the horse’s intestine.

Results and Follow-up

  • Post-operation, the researchers followed up on the Arabian filly’s condition for a period of one year.
  • They noted no post-operative complications related to the jejunal enterotomy, indicating a successful procedure and recovery.

Conclusion

  • Based on the favorable outcome in this case, the researchers propose that jejunal enterotomy could be a viable surgical option for treating ileal impaction.
  • This method may be particularly useful in young equines, like the Arabian filly, and could help improve their chances of a full recovery without any lingering complications.

Cite This Article

APA
Davis HA, Munsterman A. (2012). Ileal impaction and jejunal enterotomy in a 4-month-old Arabian filly. Can Vet J, 53(1), 71-74.

Publication

ISSN: 0008-5286
NlmUniqueID: 0004653
Country: Canada
Language: English
Volume: 53
Issue: 1
Pages: 71-74

Researcher Affiliations

Davis, Heather A
  • Auburn University College of Veterinary Medicine, JT Vaughan Large Animal Teaching Hospital, 1500 Wire Road, Auburn, Alabama 36849, USA. davish1@auburn.edu
Munsterman, Amelia

    MeSH Terms

    • Animals
    • Animals, Newborn
    • Fecal Impaction / diagnosis
    • Fecal Impaction / surgery
    • Fecal Impaction / veterinary
    • Female
    • Horse Diseases / diagnosis
    • Horse Diseases / surgery
    • Horses
    • Ileal Diseases / diagnosis
    • Ileal Diseases / surgery
    • Ileal Diseases / veterinary
    • Postoperative Complications / epidemiology
    • Postoperative Complications / veterinary
    • Treatment Outcome

    References

    This article includes 37 references
    1. Hanson RR, Wright JC, Schumacher J, Baird AN, Humburg J, Pugh DG. Surgical reduction of ileal impactions in the horse: 28 cases.. Vet Surg 1998 Nov-Dec;27(6):555-60.
    2. Blikslager A. Ileal impactions. Proc Am Col Vet Surg Washington, DC. 2009. pp. 12–15.
    3. Plummer AE. Impactions of the small and large intestines.. Vet Clin North Am Equine Pract 2009 Aug;25(2):317-27.
      pubmed: 19580942doi: 10.1016/j.cveq.2009.04.002google scholar: lookup
    4. Hackett ES, Orsini JA, Divers TJ. Appendices. In: Orsini JA, Divers TJ, editors. Equine Emergencies: Treatments and Procedures. 3rd ed. St Louis, Missouri: Saunders Elsevier; 2008. p. 765.
    5. Vatistas NJ, Snyder JR, Wilson WD, Drake C, Hildebrand S. Surgical treatment for colic in the foal (67 cases): 1980-1992.. Equine Vet J 1996 Mar;28(2):139-45.
    6. Freeman D. Small intestine. In: Auer JA, Stick JA, editors. Equine Surgery. 3rd ed. Philadelphia, Pennsylvania: Saunders; 2006. pp. 232–256.
    7. Feige K, Schwarzwald CC, Bombeli T. Comparison of unfractioned and low molecular weight heparin for prophylaxis of coagulopathies in 52 horses with colic: a randomised double-blind clinical trial.. Equine Vet J 2003 Jul;35(5):506-13.
      pubmed: 12875331doi: 10.2746/042516403775600514google scholar: lookup
    8. Cook VL, Jones Shults J, McDowell M, Campbell NB, Davis JL, Blikslager AT. Attenuation of ischaemic injury in the equine jejunum by administration of systemic lidocaine.. Equine Vet J 2008 Jun;40(4):353-7.
      pubmed: 18321812doi: 10.2746/042516408x293574google scholar: lookup
    9. Kelmer G. Update on treatments for endotoxemia.. Vet Clin North Am Equine Pract 2009 Aug;25(2):259-70.
      pubmed: 19580938doi: 10.1016/j.cveq.2009.04.012google scholar: lookup
    10. Kersjes AW, Bras GE, Németh F, van der Velden MA, Firth EC. Results of operative treatment of equine colic with special reference to surgery of the ileum.. Vet Q 1988 Jan;10(1):17-25.
      pubmed: 3376407doi: 10.1080/01652176.1988.9694141google scholar: lookup
    11. Ibrahim IM, Gohar HM, Ahmed AS, Abdel-Hamid MA. Small intestine herniation associated with an ileal impaction in a foal. Equine Pract 1987;9:15–16.
    12. Little D, Blikslager AT. Factors associated with development of ileal impaction in horses with surgical colic: 78 cases (1986-2000).. Equine Vet J 2002 Jul;34(5):464-8.
      pubmed: 12358048doi: 10.2746/042516402776117773google scholar: lookup
    13. Fukushima RS, Dehority BA. Feasibility of using lignin isolated from forages by solubilization in acetyl bromide as a standard for lignin analyses.. J Anim Sci 2000 Dec;78(12):3135-43.
      pubmed: 11132828doi: 10.2527/2000.78123135xgoogle scholar: lookup
    14. Hanson RR, Baird AN, Pugh DG. Ileal impaction in horses. Compend Contin Educ Pract Vet 1998;17:1287–1296.
    15. Pugh DG, Thompson JT. Impaction colics attributed to decreased water intake and feeding coastal bermuda grass hay in a boarding stable. Equine Pract 1992;14:9–14.
    16. Aiken GE, Potter GD, Conrad BE, Evans JW. Voluntary intake and digestion of coastal bermuda grass hay by yearling and mature horses. J Equine Vet Sci 1989;9:262–264.
    17. Chaffin MK, Fuenteabla IC, Schumacher J, Welch RD, Edwards JF. Idiopathic muscular hypertrophy of the equine small intestine: 11 cases (1980-1991).. Equine Vet J 1992 Sep;24(5):372-8.
    18. Proudman CJ, Edwards GB. Are tapeworms associated with equine colic? A case control study.. Equine Vet J 1993 May;25(3):224-6.
    19. Trotz-Williams L, Physick-Sheard P, McFarlane H, Pearl DL, Martin SW, Peregrine AS. Occurrence of Anoplocephala perfoliata infection in horses in Ontario, Canada and associations with colic and management practices.. Vet Parasitol 2008 May 6;153(1-2):73-84.
      pubmed: 18339482doi: 10.1016/j.vetpar.2008.01.016google scholar: lookup
    20. Traversa D, Fichi G, Campigli M, Rondolotti A, Iorio R, Proudman CJ, Pellegrini D, Perrucci S. A comparison of coprological, serological and molecular methods for the diagnosis of horse infection with Anoplocephala perfoliata (Cestoda, Cyclophyllidea).. Vet Parasitol 2008 Apr 15;152(3-4):271-7.
      pubmed: 18280660doi: 10.1016/j.vetpar.2007.12.032google scholar: lookup
    21. Reinemeyer CR, Nielsen MK. Parasitism and colic.. Vet Clin North Am Equine Pract 2009 Aug;25(2):233-45.
      pubmed: 19580936doi: 10.1016/j.cveq.2009.04.003google scholar: lookup
    22. Lindsay WA, Confer AW, Ochoa R. Ileal smooth muscle hypertrophy and rupture in a horse.. Equine Vet J 1981 Jan;13(1):66-7.
    23. Southwood LL, Ragle CA, Snyder JR. Surgical treatment of ascarid impactions in horses and foals. Proc Am Assoc Equine Practnr 1996;42:258–261.
    24. Hansen MB. Neurohumoral control of gastrointestinal motility.. Physiol Res 2003;52(1):1-30.
      pubmed: 12625803
    25. White NA, Lessard P. Risk factors and clinical signs associated with cases of equine colic. Proc Am Assoc Equine Practnr 1986;32:637–644.
    26. Cribb NC, Cote NM, Bouré LP, Peregrine AS. Acute small intestinal obstruction associated with Parascaris equorum infection in young horses: 25 cases (1985-2004).. N Z Vet J 2006 Dec;54(6):338-43.
      pubmed: 17151735doi: 10.1080/00480169.2006.36721google scholar: lookup
    27. Hanson RR, Schumacher J, Humburg J, Dunkerley SC. Medical treatment of horses with ileal impactions: 10 cases (1990-1994).. J Am Vet Med Assoc 1996 Mar 15;208(6):898-900.
      pubmed: 8617650
    28. Donawick WJ, Christie BA, Stewart JV. Resection of diseased ileum in the horse.. J Am Vet Med Assoc 1971 Nov 1;159(9):1146-9.
      pubmed: 5165457
    29. Edwards GB. Resection and anastomosis of small intestine: current methods applicable to the horse.. Equine Vet J 1986 Jul;18(4):322-30.
    30. Parks AH, Doran RE, White NA, Allen D, Baxter GM. Ileal impaction in the horse: 75 cases.. Cornell Vet 1989 Jan;79(1):83-91.
      pubmed: 2912676
    31. Roussel AJ Jr, Cohen ND, Hooper RN, Rakestraw PC. Risk factors associated with development of postoperative ileus in horses.. J Am Vet Med Assoc 2001 Jul 1;219(1):72-8.
      pubmed: 11439775doi: 10.2460/javma.2001.219.72google scholar: lookup
    32. Edwards GB. Obstruction of the ileum in the horse: a report of 27 clinical cases.. Equine Vet J 1981 Jul;13(3):158-66.
    33. Embertson RM, Colahan PT, Brown MP, Peyton LC, Schneider RK, Granstedt ME. Ileal impaction in the horse.. J Am Vet Med Assoc 1985 Mar 15;186(6):570-2.
      pubmed: 3988588
    34. Eggleston RB, Mueller E, Quandt JE, Neuwirth L, Harmon BG, Waguespack WR, Rainbow ME. Use of a hyaluronate membrane for jejunal anastomosis in horses.. Am J Vet Res 2001 Aug;62(8):1314-9.
      pubmed: 11497457doi: 10.2460/ajvr.2001.62.1314google scholar: lookup
    35. Eggleston RB, Mueller PO, Parviainen AK, Groover ES. Effect of carboxymethylcellulose and hyaluronate solutions on jejunal healing in horses.. Am J Vet Res 2004 May;65(5):637-43.
      pubmed: 15141885doi: 10.2460/ajvr.2004.65.637google scholar: lookup
    36. Nieto JE, Dechant JE, Snyder JR. Comparison of one-layer (continuous Lembert) versus two-layer (simple continuous/Cushing) hand-sewn end-to-end anastomosis in equine jejunum.. Vet Surg 2006 Oct;35(7):669-73.
    37. Allen D. Ileal Impaction. In: White NA, Moore JN, editors. Current Practice of Equine Surgery. Philadelphia, Pennsylvania: J.B. Lippincott Company; 1990. pp. 318–321.

    Citations

    This article has been cited 2 times.
    1. Ruff J, Zetterstrom S, Boone L, Hofmeister E, Smith C, Epstein K, Blikslager A, Fogle C, Burke M. Retrospective analysis of postoperative complications following surgical treatment of ileal impaction in horses managed with manual decompression compared to jejunal enterotomy.. Front Vet Sci 2023;10:1156678.
      doi: 10.3389/fvets.2023.1156678pubmed: 37180077google scholar: lookup
    2. Gitari A, Nguhiu J, Varma V, Mogoa E. Occurrence, treatment protocols, and outcomes of colic in horses within Nairobi County, Kenya.. Vet World 2017 Oct;10(10):1255-1263.