Surgical management of sand colic impactions in horses: a retrospective study of 41 cases.
Abstract: A retrospective review of the medical records of 41 horses requiring abdominal surgery for sand colic. Results: The diagnosis of sand colic was made when sand was found to be the cause of impaction of the gastrointestinal tract during surgical exploration. The most common clinical signs at presentation were abdominal pain, abdominal distension and diarrhoea. A statistically significant association was found between the respiratory rate on arrival and short-term survival. Sand impaction at multiple locations was detected in one-third of the horses. Concurrent pathology was detected in half of the horses. Four horses were euthanased during surgery; of those that recovered from surgery, 35/37 (95%) were discharged from hospital. Short- and long-term complications were similar to those previously reported. Long-term (1 year) survival of the horses discharged was 100%. Conclusions: The good prognosis for horses undergoing surgery for the treatment of sand impaction supports early surgical intervention in cases where large amounts of sand are suspected.
Publication Date: 2008-10-02 PubMed ID: 18826513DOI: 10.1111/j.1751-0813.2008.00348.xGoogle Scholar: Lookup
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Summary
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This article reviews a study conducted on 41 horses that required abdominal surgery due to sand colic, which is a health condition that happens when sand is found to cause a gastrointestinal blockage. The results show that early surgical intervention is beneficial when large amounts of sand are suspected in the horse’s intestines.
Diagnosis
- The study conveys that sand colic was diagnosed during surgical exploration once sand was found to be the reason for impaction of the gastrointestinal tract.
- The most oft-seen clinical signs that a horse may be suffering from this condition included abdominal pain, abdominal distension, and diarrhea.
Associated Factors and Findings
- The research found a statistically significant relationship between the rate of respiration of a horse when it arrives for treatment and its chances of short-term survival.
- Multiple instances of sand impaction were discerned in approximately one-third of the horse patients, pointing to this as a recurrent issue in some horses.
- About half of the horses displayed concurrent pathology, signaling that these horses were dealing with additional pathologies or diseases alongside sand colic.
Surgery and Outcomes
- Four horses were euthanized during surgery. Of those who survived the procedure, 95% (or 35 out of 37) were discharged from hospital, which indicates a high survival rate post-surgery.
- The complications seen in the short and long term post-surgery were similar to those previously recorded in literature. These complications weren’t named specifically in the abstract.
- There was a 100% survival rate one year post-surgery among the horses that were discharged from the hospital, suggesting that surgery has strong long-term success for managing this condition.
Conclusion
- The results of the study support early surgical intervention when sand colic is suspected in a horse, given the favorable prognosis.
Cite This Article
APA
Granot N, Milgram J, Bdolah-Abram T, Shemesh I, Steinman A.
(2008).
Surgical management of sand colic impactions in horses: a retrospective study of 41 cases.
Aust Vet J, 86(10), 404-407.
https://doi.org/10.1111/j.1751-0813.2008.00348.x Publication
Researcher Affiliations
- Koret School of Veterinary Medicine, Faculty of Agricultural, Food and Environmental Quality Sciences, The Hebrew University of Jerusalem, Rehovot, Israel.
MeSH Terms
- Animals
- Colic / mortality
- Colic / surgery
- Colic / veterinary
- Colonic Diseases / mortality
- Colonic Diseases / surgery
- Colonic Diseases / veterinary
- Female
- Horse Diseases / mortality
- Horse Diseases / surgery
- Horses
- Male
- Postoperative Complications / epidemiology
- Postoperative Complications / mortality
- Postoperative Complications / veterinary
- Prognosis
- Silicon Dioxide
- Survival Analysis
- Treatment Outcome
References
This article includes 18 references
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