title: [Contribution to the treatment of displacement of the ascendant colon in the spleen-kidney area].
abstract: Objective to this field study was to find an alternative to rolling a colic patient with left dorsal displacement under general anesthesia. For that purpose a total of 49 horses with a complete nephrosplenic entrapment out of 542 colic patients presented at the Tierklinik Kerken in 1996 were retrospectively evaluated. Having performed a preliminary colic examination and initial treatment if needed, horses which did not undergo surgery immediately where left loose in a small sized arena to move and roll themselves under observation. According to the results of further exams, horses were left in the arena until the displacement was corrected and were only treated if needed or underwent surgery. In 42 (85.7%) out of the 49 horses that were sent in for left dorsal displacement, the entrapment resolved itself within a period of 30 minutes to 48 hours (phi 12.1 +/- 10.4 hours) through walking and rolling themselves. Seven horses (14.3%) needed surgery (midline laparotomy) due to worsening of the general condition, repeated overload of the stomach or more dramatic colic symptoms. Two horses (4.1%) developed a gastroduodenojejunitis or thyphlocolitis postoperatively and were euthanized. The results showed that individual rolling of colic patients versus rolling under general anesthesia as a means of therapy in cases of nephrosplenic entrapment has higher success rates and also reduces the risk for the horses as no general anesthesia is necessary.
authors.affiliation: Tierklinik Kerken.
authors.forename: S
authors.initials: S
authors.lastname: Hofmeister
authors.forename: M
authors.initials: M
authors.lastname: Becker
authors.forename: G
authors.initials: G
authors.lastname: Böckenhoff
mesh_terms: D000818:Animals; D003085:Colic / Q000209:etiology / Q000662:veterinary*; D003108:Colonic Diseases / Q000150:complications / Q000601:surgery / Q000662:veterinary*; D006736:Horses; D007668:Kidney; D013154:Spleen
vernacular_title: Beitrag zur Behandlung der Verlagerung des Colon ascendens in den Milz-Nieren-Raum.