Changes

===Diagnosis===

===Diagnosis===

The disease is characterised by the production of large volumes of gastric reflux following nasogastric intubation, although this may be absent in the early stages of disease. Multiple distended loops of small intestine may be palpable on rectal examination or visible on ultrasonographic examination. Occasionally the lipoma may be felt ''per rectum''.  

The disease is characterised by the production of large volumes of gastric reflux following nasogastric intubation, although this may be absent in the early stages of disease. Multiple distended loops of small intestine may be palpable on rectal examination or visible on ultrasonographic examination. Occasionally the lipoma may be felt ''per rectum''. Fluid obtained by peritoneal tap may be normal early in the course of the obstruction; however, most horses with strangulating lipomas have an increased peritoneal fluid total protein and WBC count.

===Treatment===

===Treatment===