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Recognition and management of ileus
1Department of Large Animal Clinics, Purdue University School of Veterinary Medicine, West Lafayette, Indiana.
The Veterinary Clinics of North America. Equine Practice
|April 1, 1988
Summary
Ileus, a common complication after colic surgery in horses, causes decreased intestinal sounds and gastric reflux. Treatment involves addressing causes, managing pain, and supporting gut motility and intake.
Area of Science:
- Veterinary Medicine
- Equine Health
- Gastroenterology
Background:
- Ileus frequently complicates abdominal surgery in horses, particularly after colic procedures.
- It is a major contributor to postoperative mortality in equine surgical patients.
- Understanding the causes and clinical signs of equine ileus is crucial for timely intervention.
Purpose of the Study:
- To outline the common causes and clinical manifestations of ileus in horses.
- To detail the current therapeutic strategies for managing equine ileus.
- To emphasize the significance of ileus as a cause of postoperative mortality.
Main Methods:
- Review of clinical signs associated with equine ileus.
- Analysis of secondary causes including drug administration, colic, exhaustion, peritonitis, and metabolic disorders.
- Examination of treatment protocols for ileus.
Main Results:
- Ileus commonly arises secondary to drug administration, colic, exhaustion, peritonitis, or metabolic disorders.
- Postoperative ileus following colic surgery is a significant cause of mortality.
- Key clinical signs include diminished or absent intestinal sounds and gastric reflux.
Conclusions:
- Effective management of equine ileus requires addressing underlying causes and metabolic imbalances.
- Decompression of the bowel, analgesia, and motility stimulation are key treatment components.
- Careful regulation of exercise, feeding, and watering is essential for recovery.