Changes

==Complications==

==Complications==

Small intestinal distension and manipulation of the ileum at surgery may lead to post-operative ileus<ref>Blikslager, A.T, Bowman, K.F, Levine, J.F, ''et al.'' (1994) Evaluation of factors associated with postoperative ileus in horses: 31 cases (1990-1992).  ''J Am Vet Med Assoc'', 205:1748-1752.</ref> but the risk is reduced if the duration between disease onset and surgical intervention is decreased.(Hanson)  Depending on the degree of damage to the serosal surface of the small intestine at the time of surgery, complications may develop several weeks after surgery due to intra-abdominal adhesions.<ref name="Merck">Merck & Co (2008) '''The Merck Veterinary Manual (Eighth Edition)''', ''Merial''.</ref>  Most of the problems related to adhesions are thought to occur within 2 months of small intestinal surgery.<ref>Baxter, G.M, Broome, T.E, Moore, J.N (1989) Abdominal adhesions after small intestinal surgery in the horse.  ''Vet Surg'', 18(6):409-14.</ref>

Small intestinal distension and manipulation of the ileum at surgery may lead to post-operative ileus<ref>Blikslager, A.T, Bowman, K.F, Levine, J.F, ''et al.'' (1994) Evaluation of factors associated with postoperative ileus in horses: 31 cases (1990-1992).  ''J Am Vet Med Assoc'', 205:1748-1752.</ref> but the risk is reduced if the duration between disease onset and surgical intervention is decreased.<ref name="Hanson">Hanson, R.R, Wright, J.C, Schumacher, J, Baird, A.N, Humburg, J, Pugh, D.G (1998) Surgical reduction of ileal impactions in the horse: 28 cases. ''Vet Surg'', 27(6):555-60.</ref> Depending on the degree of damage to the serosal surface of the small intestine at the time of surgery, complications may develop several weeks after surgery due to intra-abdominal adhesions.<ref name="Merck">Merck & Co (2008) '''The Merck Veterinary Manual (Eighth Edition)''', ''Merial''.</ref>  Most of the problems related to adhesions are thought to occur within 2 months of small intestinal surgery.<ref>Baxter, G.M, Broome, T.E, Moore, J.N (1989) Abdominal adhesions after small intestinal surgery in the horse.  ''Vet Surg'', 18(6):409-14.</ref>

==Prognosis==

==Prognosis==