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Treatment consisted of intravenous administration of a balanced electrolyte solution, nasogastric intubation and siphonage, and administration of analgesics. Mineral oil was administered after gastric reflux had ceased. Mean time for resolution of ileal impaction was 11.7 hours.
Treatment consisted of intravenous administration of a balanced electrolyte solution, nasogastric intubation and siphonage, and administration of analgesics. Mineral oil was administered after gastric reflux had ceased. Mean time for resolution of ileal impaction was 11.7 hours.
Medical treatment may be a viable alternative for horses that cannot have surgery,provided persistent signs of severe pain or progressive gaseous distention ofthe small intestine are not features of the condition. Improvement ofcardiovascular status, reduction in signs of abdominal pain, decrease in distentionof loops of small intestine during repeated transrectal examination, softeningof the impaction, and decreases in amounts of gastric reflux were indicative ofa response to medical treatment.(Hanson Schumacher)
Medical treatment may be a viable alternative for horses that cannot have surgery,provided persistent signs of severe pain or progressive gaseous distention ofthe small intestine are not features of the condition. Improvement ofcardiovascular status, reduction in signs of abdominal pain, decrease in distentionof loops of small intestine during repeated transrectal examination, softeningof the impaction, and decreases in amounts of gastric reflux were indicative ofa response to medical treatment.(Hanson Schumacher)
==Complications==
==Complications==
Extensive small intestinal distension and intraoperative manipulation of the ileum may lead to postoperative ileus(42) but the risk is reduced if the duration between disease onset and surgical intervention is decreased.(35)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.(Merck)
Extensive small intestinal distension and intraoperative manipulation of the ileum may lead to postoperative ileus(42) but the risk is reduced if the duration between disease onset and surgical intervention is decreased.(35)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>
Theseresults indicated that most of the problems related to postoperativeintra-abdominal adhesions occurred within 2 months of the initial smallintestinal surgery. Furthermore, the earlier development of postoperativeadhesions was associated with a poorer prognosis for survival.(Baxter)
Theseresults indicated that most of the problems related to postoperativeintra-abdominal adhesions occurred within 2 months of the initial smallintestinal surgery. Furthermore, the earlier development of postoperativeadhesions was associated with a poorer prognosis for survival.(Baxter)
==Prognosis==
==Prognosis==