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The Veterinary clinics of North America. Equine practice2009; 25(2); 317-327; doi: 10.1016/j.cveq.2009.04.002

Impactions of the small and large intestines.

Abstract: Impactions of the small and large intestines are frequently diagnosed as the cause of colic in horses. An impaction is an accumulation of dehydrated ingesta in a portion of the digestive tract, typically at sites where the intestinal diameter decreases. The specific pathogenesis for impactions is not fully understood, although risk factors have been identified for several types of impactions. Treatment for impactions includes withholding feed until the impaction passes, rehydrating the ingesta, and, if necessary, administering analgesic agents. In severe cases, surgery may be necessary to relieve the impaction. This article discusses clinical signs, diagnosis, treatment (both drug and surgical options), and prognosis for impactions of the duodenum, jejunum, ileum, cecum, and small and large colons in horses.
Publication Date: 2009-07-08 PubMed ID: 19580942DOI: 10.1016/j.cveq.2009.04.002Google Scholar: Lookup
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Summary

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This research article discusses impactions in various parts of the intestinal tract in horses, a common cause of colic, and provides in-depth knowledge of their clinical signs, diagnosis, treatment, and prognosis.

Research Overview

In this study, the authors dealt with impactions in the digestive tract of horses. Impaction refers to a condition where dehydrated food accumulates in some parts of the digestive system. The focus was mainly on areas with reduced intestinal diameter. The exact causes of impactions remain unclear, but some risk factors have been identified.

Impactions and Colic in Horses

  • The research highlights that impactions of the small and large intestines are a frequent cause of colic in horses. Colic is a severe, often fluctuating pain in the abdomen that is caused by spasm, obstruction, or distension.
  • Impaction is characterized by an accumulation of dehydrated ingesta, i.e., swallowed food that has entered the alimentary canal, particularly in sections of the digestive tract where the diameter of the intestine decreases.
  • Despite the frequency of occurrence, the specific pathogenesis of impactions is still not fully understood. However, risk factors contributing to various types of impactions have been identified.

Treatment of Impactions

  • The usual treatment for impactions includes withholding feed until the impaction has passed and rehydrating the ingesta.
  • The administration of analgesic agents is also sometimes necessary to help manage pain and discomfort associated with the impaction.
  • In severe cases of impaction, surgery might be required to alleviate the obstruction.

Clinical Signs, Diagnosis, and Prognosis

  • The article also discussed clinical signs that could indicate the possibility of impaction. Understanding these signs could aid early detection, and hence, treatment.
  • Moreover, the authors delved into different means of diagnosing impactions in various parts of the intestines, including the duodenum, jejunum, ileum, cecum, and small and large colons.
  • The prognosis or anticipated course of impactions, based on present knowledge and treatment options, was also presented in the study. This information could guide veterinarians in providing appropriate care and managing owners’ expectations.

Cite This Article

APA
Plummer AE. (2009). Impactions of the small and large intestines. Vet Clin North Am Equine Pract, 25(2), 317-327. https://doi.org/10.1016/j.cveq.2009.04.002

Publication

ISSN: 1558-4224
NlmUniqueID: 8511904
Country: United States
Language: English
Volume: 25
Issue: 2
Pages: 317-327

Researcher Affiliations

Plummer, Amy E
  • Large Animal Clinical Sciences, The University of Tennessee, College of Veterinary Medicine, 2407 River Drive, Knoxville, TN 37996, USA. aeplummer@gmail.com

MeSH Terms

  • Animals
  • Colic / complications
  • Colic / surgery
  • Colic / veterinary
  • Digestive System Surgical Procedures / veterinary
  • Horse Diseases / etiology
  • Horse Diseases / surgery
  • Horses
  • Intestinal Obstruction / complications
  • Intestinal Obstruction / surgery
  • Intestinal Obstruction / veterinary

Citations

This article has been cited 6 times.
  1. Lindinger MI. Oral Electrolyte and Water Supplementation in Horses. Vet Sci 2022 Nov 10;9(11).
    doi: 10.3390/vetsci9110626pubmed: 36356103google scholar: lookup
  2. Hobbs KJ, DeNotta SL, Gallastegui A, Elane GL, Rivero LA, Adkins P, Gomez DE. Obstipation in pet pigs: 24 cases. Can Vet J 2021 Aug;62(8):843-848.
    pubmed: 34341596
  3. Worku Y, Wondimagegn W, Aklilu N, Assefa Z, Gizachew A. Equine colic: clinical epidemiology and associated risk factors in and around Debre Zeit. Trop Anim Health Prod 2017 Jun;49(5):959-965.
    doi: 10.1007/s11250-017-1283-ypubmed: 28401328google scholar: lookup
  4. Davis HA, Munsterman A. Ileal impaction and jejunal enterotomy in a 4-month-old Arabian filly. Can Vet J 2012 Jan;53(1):71-4.
    pubmed: 22753967
  5. Whittamore JM. Osmoregulation and epithelial water transport: lessons from the intestine of marine teleost fish. J Comp Physiol B 2012 Jan;182(1):1-39.
    doi: 10.1007/s00360-011-0601-3pubmed: 21735220google scholar: lookup
  6. Scilimati N, Cerullo A, Nannarone S, Gialletti R, Giusto G, Bertoletti A. Small Colon Faecalith with Large Colon Displacement in Ten Cases (2015-2023): A Detailed Case Description and Literature Review. Animals (Basel) 2024 Jan 15;14(2).
    doi: 10.3390/ani14020262pubmed: 38254431google scholar: lookup