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Intra-abdominal Pressure Screening of Horses With Colic
Vanessa B de Paula1, Paulo A Canola2, Gabriela G Rivera1
1São Paulo State University (Unesp), School of Agricultural and Veterinarian Sciences, Jaboticabal, SP, Brazil.
Journal of Equine Veterinary Science
|June 15, 2020
Summary
Intra-abdominal pressure (IAP) in horses with colic can indicate severity. Elevated IAP in the right flank suggests strangulating obstructions, requiring surgery and increasing mortality risk.
Area of Science:
- Veterinary Medicine
- Equine Surgery
- Gastroenterology
Background:
- Colic is a common and serious condition in horses.
- Accurate assessment of colic severity is crucial for treatment decisions.
- Intra-abdominal pressure (IAP) is a potential indicator of colic's severity.
Purpose of the Study:
- To evaluate changes in intra-abdominal pressure (IAP) in horses experiencing colic.
- To associate IAP values with specific colic etiologies and survival rates.
- To determine the diagnostic and prognostic value of IAP measurements in equine colic.
Main Methods:
- A 2-year cohort study (2014-2016) included 28 horses with colic.
- Intra-abdominal pressure (IAP) was measured at the right flank (standing) and linea alba (supine).
- IAP values were correlated with underlying causes, surgical intervention, and survival outcomes.
Main Results:
- Elevated IAP (>0.0 mmHg) at the right flank was linked to surgical treatment (P < .05).
- Colic cases with high IAP were associated with strangulated large colon obstructions.
- Horses with strangulating obstructions had a significantly higher likelihood of death/euthanasia (P < .001).
Conclusions:
- Intra-abdominal pressure (IAP) varies considerably in horses with colic.
- Right flank IAP >0.0 mmHg is a strong indicator of strangulating large intestine obstructions.
- IAP measurement can aid in surgical decision-making and prognosis for horses with colic.
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