1William R. Prichard Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California-Davis, Davis, CA.
2Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, Davis, CA.
J Am Vet Med Assoc. 2024 Feb 7;262(4):543-551. doi: 10.2460/javma.23.09.0520. Print 2024 Apr 1.
To determine breed, age, and sex predispositions for fecalith obstruction and to evaluate short-term survival and prognostic factors following surgical treatment of fecalith intestinal obstruction in equids.
151 equids.
Medical records of equids undergoing surgery for fecalith obstruction from 2000 to 2020 were reviewed. Signalment, history, presenting clinicopathological data, surgical findings, complications, and short-term survival were recorded and compared between survivors and nonsurvivors. Signalment of the fecalith population was compared to a contemporaneous colic population. Clinical factors were assessed for association with outcome.
64 females, 53 castrated males, and 31 intact males were included. Three equids presented twice. Miniature horses, ponies, and miniature donkeys/mules represented 48% (71/148) of fecalith population and full-sized breeds represented 52% (77/148). Miniature horses and ponies were overrepresented and equids ≤ 1 year of age were overrepresented in the fecalith population compared to the colic population. One hundred thirty-nine equids (92%) survived to discharge, 6% (9/148) were euthanized intraoperatively, and 2% (3/148) were euthanized during hospitalization. Nonsurvivors showed more severe colic signs on admission, tachycardia on admission, and hyperlipemia. Equids with postoperative colic (P = .01) and complications (P = .002) were less likely to survive.
Miniature horses and ponies were overrepresented compared to the colic population; however, full-sized breeds were also affected. Surgical treatment had an excellent short-term prognosis. Severe colic signs, tachycardia, hyperlipemia, postoperative colic, and surgical complications negatively affected short-term survival.
确定结石性肠梗阻的品种、年龄和性别倾向，并评估马属动物结石性肠梗阻手术后的短期存活率和预后因素。
151 匹马属动物。
回顾了 2000 年至 2020 年间因结石性肠梗阻接受手术的马属动物的病历。记录了品种、病史、临床表现和实验室检查数据、手术发现、并发症以及短期存活率，并比较了存活者和非存活者。比较了结石群体的品种与同期疝痛群体的品种。评估了临床因素与结果的相关性。
包括 64 匹母马、53 匹去势公马和 31 匹未去势公马。3 匹马属动物出现了 2 次。小型马、小马和小型驴/骡占结石群体的 48%（71/148），而全尺寸品种占 52%（77/148）。与疝痛群体相比，结石群体中小型马和小马的比例过高，1 岁以下的马属动物的比例过高。139 匹马属动物（92%）存活出院，6%（9/148）在手术中安乐死，2%（3/148）在住院期间安乐死。非存活者入院时的疝痛症状更严重，入院时心率加快，血脂异常。术后发生疝痛（P =.01）和并发症（P =.002）的马属动物更不可能存活。
与疝痛群体相比，小型马和小马的比例过高；然而，全尺寸品种也受到影响。手术治疗有很好的短期预后。严重的疝痛症状、心动过速、血脂异常、术后疝痛和手术并发症会对短期存活率产生负面影响。
