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Gastric motility stimulants should be avoided if the extent of the impaction is unkown to prevent gastric rupture
Gastric motility stimulants should be avoided if the extent of the impaction is unkown to prevent gastric rupture
Those diagnosed at sx may be treated with bethanecol at 0.2mg/kg SC every 8hrs
Those diagnosed at sx may be treated with bethanecol at 0.2mg/kg SC every 8hrs
Medical treatment includes nasogastric intubation, and frequent attempts at softening the ingesta with water, followed by refluxing the fluid contents. (BLiks)
Surgery
Surgery
Post-op starve for 48-72hrs
Post-op starve for 48-72hrs
Gastroscopy indicated to confirm resolution of impaction and identify any underlying causes in stomach
Gastroscopy indicated to confirm resolution of impaction and identify any underlying causes in stomach
At surgery, the impaction can be massaged and infused, most commonly via insertion of a needle adjacent to the greater curvature, followed by infusionof a balanced polyionic fluid such as saline. There is also a report including the details of a pony and a horse in which a gastrotomy was performed to removethe impacted stomach contents.5 However, there are major risks with this procedure, and infusion followed up by postoperative lavage by stomach tube isusually successful. (Bliks)
==References==
==References==