Kunz-Kirchhofer Christine, Schelling Esther, Probst Sylvie, Brechbühl Monika, Steiner Adrian, Meylan Mireille
Clinic for Ruminants, Vetsuisse-Faculty, University of Berne, 3012 Berne, Switzerland.
Am J Vet Res. 2010 Mar;71(3):304-13. doi: 10.2460/ajvr.71.3.304.
To analyze myoelectric activity of the ileum, cecum, proximal loop of the ascending colon (PLAC), and spiral colon in cows with naturally occurring cecal dilatation-dislocation (CDD) and compare findings with those in healthy cows.
8 CDD-affected and 6 healthy control cows.
Immediately after diagnosis, CDD-affected cows underwent surgery; control cows underwent a similar surgical procedure. Before completion of surgery, 8 bipolar silver electrodes were implanted in the ileum (n = 2), cecum (1), PLAC (1), and spiral colon (4) of each cow. Beginning the day after surgery, intestinal myoelectric activity was recorded daily (8-hour period) for 4 days; data were analyzed by use of specialized software programs. Quantitative variables of myoelectric activity were compared between groups.
Cows of both groups recovered without complications after surgery. In control cows, physiologic myoelectric activity was recorded in all intestinal segments on all days after surgery. Apparently normal myoelectric activity was evident in the ileum of CDD-affected cows on the first day after surgery, but myoelectric activity patterns in the cecum, PLAC, and spiral colon were variable with no organized cyclic myoelectric patterns, incomplete or normally organized migrating myoelectric complexes, and slow normalization over time.
After surgery for CDD, normal myoelectric patterns were disrupted in the large intestine of cows, especially in the spiral colon. Clinical recovery with effective transit of ingesta occurred before normalization of myoelectric activity in the large intestine. Therapeutic protocols for restoration or normalization of spiral colon motility should be developed for treatment of CDD-affected cattle.
分析自然发生盲肠扩张-移位(CDD)的奶牛回肠、盲肠、升结肠近端袢(PLAC)和螺旋结肠的肌电活动,并将结果与健康奶牛进行比较。
8头患有CDD的奶牛和6头健康对照奶牛。
确诊后,患有CDD的奶牛立即接受手术;对照奶牛接受类似的外科手术。在手术结束前,将8个双极银电极植入每头奶牛的回肠(n = 2)、盲肠(1个)、PLAC(1个)和螺旋结肠(4个)。从手术后第一天开始,每天(8小时时间段)记录肠道肌电活动,持续4天;数据通过使用专门的软件程序进行分析。比较两组之间肌电活动的定量变量。
两组奶牛术后均无并发症恢复。在对照奶牛中,术后所有天数在所有肠段均记录到生理性肌电活动。术后第一天,受CDD影响的奶牛回肠肌电活动明显正常,但盲肠、PLAC和螺旋结肠的肌电活动模式各不相同,没有有组织的周期性肌电模式、不完全或正常组织的移行性肌电复合波,且随时间缓慢恢复正常。
CDD手术后,奶牛大肠尤其是螺旋结肠的正常肌电模式被破坏。在大肠肌电活动恢复正常之前,食糜有效转运实现了临床恢复。应制定恢复螺旋结肠动力或使其正常化的治疗方案,用于治疗受CDD影响的牛。