title: Attempted medical management of suspected ascending colon displacement in horses.
abstract: OBJECTIVE
  To determine the success of medical management of suspected displacement of the ascending (large) colon in horses.
  
  
  METHODS
  Retrospective case series.
  
  
  METHODS
  Horses (n = 127) with suspected large colon displacement.
  
  
  METHODS
  Medical records (January 1998-September 2008) of horses admitted for colic were reviewed. Suspected large colon displacement was diagnosed from clinical examination and in some cases, subsequent surgical examination. Medically managed horses were exercised and administered intravenous fluids and analgesia. Horses with suspected left dorsal displacement (LDD) of the large colon were also administered phenylephrine.
  
  
  RESULTS
  Medical management had a high success rate for treatment of suspected right dorsal displacement (RDD) (64%) and LDD (76%) of the large colon; 4 horses died (1) or were euthanatized (3) and 36 horses had surgery. Of 127 horses treated medically or surgically for a colon displacement, 94% survived to hospital discharge.
  
  
  CONCLUSIONS
  Horses with suspected RDD or LDD of the large colon may respond to medical management including exercise.
authors: Donnington Grove Veterinary Surgery, Newbury, UK. kfmcgovern@gmail.com
authors: Kate F
authors: KF
authors: McGovern
authors: Bruce M
authors: BM
authors: Bladon
authors: Barny S L
authors: BS
authors: Fraser
authors: Raymond C
authors: RC
authors: Boston
mesh_terms: D000818:Animals; D044682:Colon, Ascending / Q000601:surgery; D003108:Colonic Diseases / Q000601:surgery / Q000662:veterinary*; D006734:Horse Diseases / Q000601:surgery*; D006736:Horses; D012189:Retrospective Studies; D016896:Treatment Outcome