GI surgery Flashcards
in a GI explore what structure do you look for first
ileocecal fold and follow orally
how to treat a gastric impaction (stomach)
lavage with NG tube. cant exteriorize the stomach during surgery
who do we see ascarid impactions in
young recently dewormed horses
treatment for ascarids
run the bowel to the cecum. or enterotomy/RNA if compromised bowel
what causes ileal impactions
costal bermuda grass commonly
treatment for ileal impactions
medical. IV fluids and analgesics - if surgical massage the impaction and milk it down
what product is helpful to use when handling small intestines to decrease adhesions
belly jelly
what is the difference between T1 and T2 cecal impactions
T1- feed material builds up. silent killer.
T2- cecal dysfunction and inability to contract, variable amounts of gas. surgical bypass needed
treatment for gas colic
pain meds
withhold feed for 24 hours
buscopan
where do large colon impactions commonly occur
left ventral colon and pelvic flecture
right dorsal displacements typically occur in who
large breed adult horses
what would you feel in rectal palpation of a right dorsal displacement
taenia running horizontally
99.3% of horses with enteroliths have a history of being fed ______
alfalfa
most definitive diagnosis for enterolithaisis
radiographs
horses with small colon impactions are 10x more likely to have ______ at presentation compared to those with large colon impactions
diarrhea
treatment for meconium impactions
enemas, laxatives, fluids
sx only as a last resort
what factors increase adhesion risk
foals
small intestine
surgery <2mo ago
what to remember about strangulating lesions
they are always surgical
what are the causes of thromboembolic colic
strongylus vulgaris
severe colitis
coagulopathies
main causes of mesocolic rupture
post foaling, straining, dystocia
one of the most common causes of colic in older horses
strangulating lipomas
most common indication for abdominal surgery in foals
volvulus
who most likely gets inguinal hernias
stallions- standardbred, thoroughbred
severe pain that is not better with pain meds. what should be on your differential list
large colon volvulus. take to surgery
signalment of an intussusception
<1 yr old
general treatment for a intussusception and volvulus
reduce or RnA if too devitalized
