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Endoscopy (not diagnostic for impaction and diffcult to assess gastric distnsion)
Endoscopy (not diagnostic for impaction and diffcult to assess gastric distnsion)
Rads may help, will show diaphragm displaced crnaially
Rads may help, will show diaphragm displaced crnaially
Trestment
If suspected, horse should be tranferred with NGT in place to a faciltiy where surgery can be perfomed if necessary
Medical tx can include gastric lavage to remove as much imcpated material as possible - may need to dne repeatedly
100-200ml 8%DSS may facilittae hydration of dessicated ingesta
IV fluid and anlagesics sould also be given, altogh unliukely that IV fluids will resovle the imapction
Gastric motility stimulants hsould be avpoided if the extent of the impaction is unkown to prvent gastrci rupture
Those diagnosed at sx ay be treated iwth bethanoecol at 0.2mg/kg SC every 8hrs
Surgeyr
Direct infusion of balanced polyionic fluids into the i,maopction through the stomach wall
Stomach massaged to brea down oimapction and facilitate movement of lfuid into the ingesta
Or fluid may be infused via NGT followed by massage of the sotmach
Post-op starve for 48-72hrs
Gastrocpsy indicated to cofnrum resolution of impaction and identyo any undelryign cuases in stomach