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==Treatment==
==Treatment==
[[Colic, Medical Treatment|Medical treatment]] with fluids and liquid paraffin may resolve the impaction early on(36) but '''surgery''' is typically required. At surgery, fluids such as saline or carboxymethylcellulose can be directly infused into the mass so that the impaction can be manually broken down and massaged into the caecum. '''Dioctyl sodium sulfosuccinate (DSS)''' may be included in the infusion to help disrupt the mass. An enterotomy in the distal jejunum should be considered to evacuate impacted contents and reduce intestinal manipulation.Theileal impaction was reduced by extraluminal massage aided by admixing of intestinal fluid oral to the impaction or injection of fluids intraluminally and then movement of the ingesta into the cecum. One horse initially treated by manual reduction required jejunocecostomy twice for management of recurrent ileal impaction.Ileal impactions can be successfully reduced by celiotomy and extraluminal massage and injection techniques to soften the ingesta for passage into the cecum without enterotomy or bypass techniques in most horses. (Hanson)
[[Colic, Medical Treatment|Medical treatment]] with fluids and liquid paraffin may resolve the impaction early on<ref name="Hanson 2">Hanson, R.R, Schumacher, J, Humburg, J, Dunkerkley, S.C (1996) Medical treatment of horses with ileal impactions: 10 cases (1990-1994). ''J Am Vet Med Assoc'', 208(6):898-900.</ref> but '''surgery''' is typically required. At surgery, fluids such as saline or carboxymethylcellulose can be directly infused into the mass so that the impaction can be manually broken down and massaged into the caecum. '''Dioctyl sodium sulfosuccinate (DSS)''' may be included in the infusion to help disrupt the mass. An enterotomy in the distal jejunum should be considered to evacuate impacted contents and reduce intestinal manipulation.Theileal impaction was reduced by extraluminal massage aided by admixing of intestinal fluid oral to the impaction or injection of fluids intraluminally and then movement of the ingesta into the cecum. One horse initially treated by manual reduction required jejunocecostomy twice for management of recurrent ileal impaction.Ileal impactions can be successfully reduced by celiotomy and extraluminal massage and injection techniques to soften the ingesta for passage into the cecum without enterotomy or bypass techniques in most horses. (Hanson)
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.