Scott E A, Heidel J R, Snyder S P, Ramirez S, Whitler W A
Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Oregon State University, Corvallis 97331-4802, USA.
J Am Vet Med Assoc. 1999 May 15;214(10):1527-30.
To determine clinical and surgical abnormalities in, and long-term outcome of, horses that undergo surgery because of colic secondary to inflammatory bowel disease (IBD).
Retrospective study.
11 horses.
Medical records of horses that had undergone abdominal surgery and in which IBD had been diagnosed on the basis of histologic examination of intestinal biopsy specimens were reviewed.
5 horses were examined because of acute colic and 6 were examined because of chronic colic. At surgery, all 11 horses had edematous or hemorrhagic bowel segments suggestive of IBD. In addition, 6 horses had circumferential mural bands (CMB) causing constriction of the small (4 horses) or large (2) intestine. Intestinal resections were performed in 7 horses. All 11 horses survived surgery and were discharged from the hospital; 10 horses were still alive at the time of follow-up (1.5 to 7 years after surgery).
Results suggest that IBD is an uncommon cause of colic in horses. Surgical resection of segments of intestine with constrictive CMB may relieve clinical signs of colic. Horses with IBD that had surgery had a good prognosis for long-term survival.
确定因炎症性肠病（IBD）继发绞痛而接受手术的马匹的临床和手术异常情况以及长期预后。
回顾性研究。
11匹马。
回顾接受腹部手术且根据肠道活检标本组织学检查诊断为IBD的马匹的病历。
5匹马因急性绞痛接受检查，6匹马因慢性绞痛接受检查。手术时，所有11匹马均有提示IBD的肠段水肿或出血。此外，6匹马有导致小肠（4匹）或大肠（2匹）狭窄的环形壁带（CMB）。7匹马进行了肠切除术。所有11匹马术后存活并出院；随访时（术后1.5至7年）10匹马仍存活。
结果表明IBD是马匹绞痛的罕见原因。手术切除伴有狭窄性CMB的肠段可能缓解绞痛的临床症状。接受手术的IBD马匹长期存活预后良好。
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