Willette Jaclyn, Guinn Alyssa, Munsterman Amelia
Department of Veterinary Clinical Sciences, Iowa State College of Veterinary Medicine, Ames, IA 50011, USA.
Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, MI 48824, USA.
Animals (Basel). 2025 Aug 12;15(16):2363. doi: 10.3390/ani15162363.
Impactions of the jejunum are rarely described in the literature. The current case series describes six cases of adult horses with jejunal impactions with feed material diagnosed by exploratory celiotomy. Horses underwent exploratory celiotomy based off of their degree of pain despite medical management and concerns for a primary strangulating small intestinal lesion. All jejunal impactions were relieved via manual decompression of the impaction into the cecum. None of the cases underwent a resection or anastomosis at the site of impaction. All horses were treated with gastroprotectants (omeprazole or sucralfate) post-operatively; 3/6 horses underwent a gastroscopy and were diagnosed with squamous gastric ulceration prior to treatment. Despite post-operative complications, 5/6 horses survived to hospital discharge.
空肠阻塞在文献中鲜有描述。本病例系列报道了6例成年马空肠被饲料阻塞的病例，这些病例通过剖腹探查术确诊。尽管进行了药物治疗，但鉴于马匹的疼痛程度以及对原发性绞窄性小肠病变的担忧，这些马接受了剖腹探查术。所有空肠阻塞均通过手动将阻塞物减压至盲肠而得以缓解。所有病例均未在阻塞部位进行切除或吻合术。所有马匹术后均接受了胃保护剂（奥美拉唑或硫糖铝）治疗；6匹马中有3匹在治疗前接受了胃镜检查，被诊断为鳞状胃溃疡。尽管术后出现了并发症，但6匹马中有5匹存活至出院。
