DOCSLIB.ORG

Management and Complications Associated with Treatment of Cervical Oesophageal Perforations in Horses K

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Management and Complications Associated with Treatment of Cervical Oesophageal Perforations in Horses K EQUINE VETERINARY EDUCATION / AE / MAY 2013 247 Original Article Management and complications associated with treatment of cervical oesophageal perforations in horses K. Kruger and J. L. Davis* Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, North Carolina, USA. *Corresponding author email: [email protected] Keywords: horse; oesophageal perforation; enteral nutrition Summary depressed, tachycardic (84 beats/min), tachypnoeic (54 Six horses were evaluated for colic and anorexia, choke or breaths/min) and dehydrated (capillary refill time 3 s, suspected oesophageal rupture with and without tracheal prolonged skin tent). Complete blood count (CBC) revealed laceration. Clinical findings were variable, but a painful leucopenia characterised by neutropenia with a left shift, and ventral neck swelling was noted in all cases. Two of the horses polycythaemia. Serum chemistry revealed hypocalcaemia. had signs of dehydration and sepsis. Additional findings Palpation per rectum and abdominal ultrasound were within included evidence of previous trauma over the trachea and normal limits. A mild swelling was noted on the ventral aspect oesophagus, ventral neck abscessation, choke and aspiration of the neck that was painful to palpation. During ultrasound pneumonia. A diagnosis of oesophageal perforation was and radiography of the neck, gas was evident in the soft made using endoscopy. Two horses were subjected to tissues surrounding the trachea and oesophagus. Endoscopy euthanasia without treatment. All horses where treatment was revealed a 5 cm long full thickness linear perforation of the attempted received debridement of the oesophageal ventral oesophagus in the mid-cervical region. perforation and surrounding tissues with or without surgical Standing surgery was performed under sedation and local closure of the oesophageal defect. Other therapies included anaesthesia. One approximately 10 cm straight incision was broad spectrum antimicrobials, anti-inflammatory drugs, fluid made through the skin using sharp dissection with a number 10 and nutritional support as well as additional therapeutics for blade scalpel. Further blunt dissection was performed through sepsis and individual complications. Complications included the necrotic subcutaneous and deeper tissues down to the site diverticulum formation, thrombophlebitis, diarrhoea, laryngeal of oesophageal rupture on the ventrolateral aspect of the hemiplegia, azotaemia, aspiration pneumonia, oesophageal neck, approximately 3 cm left of the trachea, for debridement obstruction, weight loss and laminitis. All 4 treated horses and lavage. Another approximately 15 cm straight incision recovered from the oesophageal perforation and are was made directly under the initial incision but further ventrally able to eat a normal diet. Two of the 4 horses have had at the level of the thoracic inlet through the skin and infrequent episodes of recurrent choke. Oesophageal rupture subcutaneous tissue to allow continued drainage of blood should be considered as a differential diagnosis for horses with and debris. The oesophageal tear and surgical wounds were a painful swelling of the ventral neck. With surgical left open to heal by second intention. debridement and adequate supportive care, oesophageal The horse was treated with broad spectrum antibiotics perforation cases can have a fair to good long-term survival, (ampicillin, gentamicin and metronidazole), nonsteroidal although chronic complications can occur, therapy is anti-inflammatory drugs (flunixin meglumine) and anti- prolonged, and a significant economic commitment is endotoxaemic drugs (polymyxin B, hyperimmune plasma). required. Replacement and maintenance polyionic crystalloids, with added calcium gluconate, were administered until the horse was able to maintain hydration from oral water intake on Introduction Day 4. Culture of the affected muscle surrounding the Between 2001 and 2012, 6 horses presented to the North oesophageal tear yielded a heavy growth of Pasteurella Carolina State University Veterinary Teaching Hospital (VTH) multocida and Escherichia coli, both of which were sensitive to with oesophageal perforation in the proximal to mid-cervical ampicillin. region (Table 1). The management of 4 of the cases is Over the first 24 h, the horse remained depressed and described in detail below. The remaining 2 cases were uncomfortable. The heart rate increased to 132 beats/min and subjected to euthanasia without treatment, one at the request copious amounts of serum, mucus and saliva drained from the of his owners due to age (29 years) and financial constraints open wounds. Opioid analgesics (butorphanol) were added and the other due to a poor prognosis. This horse had 4 for additional pain control. Wounds were flushed twice daily separate areas of oesophageal ulceration and tears and signs with sterile saline. Despite continued saliva and serum loss, of severe sepsis, as well as a history of repeated choke. serum electrolytes remained within normal limits. Cellulitis became evident in the pectoral area 3 days after Case 1 presentation. The skin and subcutaneous tissues over this area An 11-year-old Tennessee Walking Horse was referred to VTH proceeded to slough, leaving an open, draining wound. In for an 18 h history of anorexia and colic that did not resolve addition, a malodorous infection developed in the tissues with medical therapy administered by the primary deep to the oesophagus. The tissues were debrided and the veterinarian. On presentation, the horse was moderately wounds were subsequently cleaned twice daily and a dilute © 2013 EVJ Ltd 248 EQUINE VETERINARY EDUCATION / AE / MAY 2013 TABLE 1: Summary of cases presented to the North Carolina State University Veterinary Teaching Hospital with a diagnosis of oesophageal rupture Age (years), Days in Complications Complications Case breed, gender Description of rupture hospital (acute) (chronic) Outcome 1 11, Tennessee Walking 5 cm; ventral 30 Endotoxaemia Recurrent choke Survived Horse, gelding oesophagus; Cellulitis mid-cervical 2 1, Quarter Horse, filly 5 cm; ventral 20 Phlebitis Diarrhoea Survived oesophagus; Diarrhoea Left laryngeal mid-cervical Pyrexia hemiplegia Left laryngeal hemiplegia 3 5, Thoroughbred, mare 1 cm; ventral 37 Subcutaneous – Survived oesophagus; proximal emphysema cervical Periesophageal abscess 4 1.5, Tennessee Walking Two 10 cm; ventral 44 Endotoxaemia Recurrent choke Survived Horse, gelding oesophagus; Cellulitis Laminitis mid-cervical Choke Left laryngeal Aspiration pneumonia hemiplegia Left laryngeal hemiplegia Laminitis Azotaemia 5 29, Quarter Horse 2 cm; lateral oesophagus; <1 – – Subjected to gelding proximal, 3–4 cm distal euthanasia to the larynx 6 1.5, Warmblood, 4 cm; dorsal oesophagus; <1 – – Subjected to gelding distal cervical; multiple euthanasia ulcerations present iodine solution was applied. Debridement was performed as complication. The neck wounds were manually cleaned of necessary afterwards until the wounds had healed. food particles twice daily and lavaged with water. Surgical After an initial 48 h of fasting, an indwelling nasogastric gauze soaked in dilute iodine solution was packed into the tube was placed and enteral feeding initiated using high fibre large tissue defect surrounding the oesophageal tear. Pectoral pellets soaked in water with added corn oil. Partial parenteral wounds were cleaned daily with chlorhexidine scrub and nutrition consisting of 8.5% amino acids at 250 ml/h as well as necrotic tissue debrided as needed. Wounds were sprayed 10% dextrose in 0.45% NaCl with 10 ml of vitamin B complex with dilute iodine solution on an hourly basis. By Day 26 the added to each litre at 250 ml/h was also started in addition horse had gained back 55 kg. to the abovementioned fluids and continued for 3 days. Despite maintaining a fairly good attitude, a severe, This was designed to provide an additional 25% of the prolonged, neutropenia with a left shift developed after the horse’s maintenance energy requirements (approximately discontinuation of polymyxin B on Day 21. In addition, 8.25 kcal/kg bwt/day). On Day 5, the nasogastric tube was tachycardia persisted at 60–70 beats/min until Day 25 and only removed because of fears that it might be interfering with decreased to 48–52 beats/min at discharge. These healing of the oesophageal rupture. The horse was offered the abnormalities were attributed to continued endotoxaemia as soaked pelleted feed, which he only ate well for the first 24 h, a result of Gram-negative bacterial sepsis. The neutropenia after which his appetite became poor. Metronidazole resolved by Day 27, but the left shift was present until administration was switched to per rectum at this point. Within discharge. Mild anaemia developed on Day 22, and persisted 36 h, the horse became severely depressed and developed until discharge. a thrombocytopenia. Prothrombin time, activated The contracting external skin incision had to be extended thromboplastin time and fibrinogen degradation products approximately 5 cm on Day 27 to re-establish adequate were within normal limits. A stallion catheter was placed drainage. Excessive granulation tissue was also debrided at through the oesophageal wound into the stomach in order to this time. The horse was discharged on Day 30. His diet administer oral medications. The horse’s attitude and platelet consisted of pellets and 30 min of hand grazing several times a count improved over a period of 48 h. The neutropenia day. Flunixin
Load more

Recommended publications
  • Upper Endoscopy Prep Sheet (Egd)
    1720 Central Ave. E. Hampton, IA 50441 641.456.5000 641.456.5050 UPPER ENDOSCOPY PREP SHEET (EGD) Patient: _____________________________________________ Procedure Date: ______________________ Please check with your insurance company about preauthorization. The phone number will be located on the back of your insurance card. PHYSICIAN: Harsha Jayawardena, M.D. PLACE OF PROCEDURE: Franklin General Hospital Outpatient Surgery Dept. 641-456-5032 TIME OF PROCEDURE: The surgery department will call you one or two days prior to your procedure with the time. EGD – esophagogastroduodenoscopy is a test to examine the lining of the esophagus (the tube that connects your throat to your stomach), stomach, and first part of the small intestine. It is done with a small camera (flexible endoscope) that is inserted down the throat. PREPARATION INSTRUCTIONS FOUR DAYS BEFORE YOUR PROCEDURE: STOP taking proton inhibitors such as Prilosec, Nexium, Prevacid, Protonix, etc. You may take Pepcid or Zantac, two tablets if needed. TWO DAYS BEFORE YOUR PROCEDURE: STOP taking blood thinners such as Aspirin, Coumadin, anti-inflamatory medications, etc. unless instructed by your physician. NOTHING TO EAT OR DRINK INCLUDING CANDY AND GUM AFTER MIDNIGHT THE NIGHT BEFORE YOUR PROCEDURE. NO SMOKING. DAY OF PROCEDURE: 1. TAKE your heart, blood pressure and/or thyroid medications with a SIP of water. Do not take other medications unless instructed. 2. Please have a list of allergies and medications (prescription, over the counter, and herbs) with you. 3. A consent will be obtained and a needle (IV) will be inserted into a vein in your arm to give you medications during the procedure.
    [Show full text]
  • WHAT to EXPECT WHEN YOUR HORSE TURNS 20 - GASTROINTESTINAL Mary Rose Paradis, DVM, MS Diplomate ACVIM (LAIM)
    WHAT TO EXPECT WHEN YOUR HORSE TURNS 20 - GASTROINTESTINAL Mary Rose Paradis, DVM, MS Diplomate ACVIM (LAIM) Introduction Gastrointestinal tract is the most common system to be involved in diseases of the older horse. (Brosnahan, Paradis) In comparison to younger horses, horses > 20 years of age were more likely to experienced colic, dental disease and tumors. Presenting clinical signs that indicate gastrointestinal involvement vary with the part of the gastrointestinal tract that is involved. They may include weight loss, quiding, passage of whole grain in the manure, foul breath, abdominal pain, dysphagia, and ptyalism. This talk will begin at the beginning, the mouth, and describe particular problems in the gastrointestinal tract as they relate to the older horse. Oral Cavity Dental problems in the older horse may be due to the normal or abnormal wear. Horses have hypsodont teeth which have a long reserve crown in the young animal and they constantly erupt throughout the horse’s life. Wear of these teeth depends on many things such as forage versus grain diets. In general, the eruption time equals the wear time which is about 2-3 mm/year for horses on a primarily forage diet. (Dixon,1999) This equates to 4-6 cm lost by the time the horse is 20 years old and 6-9 cm by the time the horse is 30 years old. As the teeth become completely worn down, the premolars and molars lose their normal enamel ridges and become smooth. Hence this condition is called “smooth mouth”. Without a grinding surface to the cheek teeth, the older horse is unable to crush its feed.
    [Show full text]
  • Esophageal Choke and Its Management in a Thorough Bred Horse
    Biomed J Sci & Tech Res DOI: 10.26717/BJSTR.2017.01.000194 Adolfo F Godoy Pinto. Biomed J Sci & Tech Res ISSN: 2574-1241 Short Communication Open Access Esophageal Choke and its Management in a Thorough Bred Horse Adolfo F Godoy Pinto* Department of Clinical Sciences, University Of Chile, South Africa Received: July 10, 2017; Published: July 14, 2017 *Corresponding author: Adolfo F Godoy Pinto, Department Of Clinical Sciences, Area Of Internal Medicine And Equine Surgery, Faculty Of Veterinary Sciences, University Of Chile, South Africa, Email: Abstract We describe the clinic case of a thoroughbred horse with esophageal obstruction that presented a fatal outcome, possibly attributed to the esophageal mucosa with posterior cicatricial reaction and irreversible stenosis of the organ. The importance of medical therapy, based on inadequate management in which excessive use of the nasogastric tube to push the contents was responsible of ulceration and inflammation of obstructive content using soft pressure water and not to push content. analgesics, anti-inflammatory, sedatives (alpha 2 agonists), oxytocin, is highlighted. In addition, the use of nasogastric tube only to dissolves the Keywords: Thoroughbred horses; Dysphagia; Esophagus; Choke; Oxytocin Introduction The esophagus has mucosal, sub mucosal, muscular, and self-limited, some can be transformed into serious pathologies, such adventitial layers. A serosal layer is present for the very short Although it`s true that a significant number of these cases are as the occurrence of aspiration pneumonia, esophageal rupture, or segment of the esophagus that traverses the abdominal cavity a severe cicatricial reaction of the esophagus mucosa [3], in this last between the diaphragm and the stomach.
    [Show full text]
  • Diseases of the Stomach A
    DISEASES OF THE GASTROINTESTINAL TRACT (Notes Courtesy of Dr. L. Chris Sanchez, Equine Medicine) The objective of this section is to discuss major gastrointestinal disorders in the horse. Some of the disorders causing malabsorption will not be discussed in this section as they are covered in the “chronic weight loss” portion of this course. Most, if not all, references have been removed from the notes for the sake of brevity. I am more than happy to provide additional references for those of you with a specific interest. Some sections have been adapted from the GI section of Reed, Bayly, and Sellon, Equine Internal Medicine, 3rd Edition. OUTLINE 1. Diagnostic approach to colic in adult horses 2. Medical management of colic in adult horses 3. Diseases of the oral cavity 4. Diseases of the esophagus a. Esophageal obstruction b. Miscellaneous diseases of the esophagus 5. Diseases of the stomach a. Equine Gastric Ulcer Syndrome b. Other disorders of the stomach 6. Inflammatory conditions of the gastrointestinal tract a. Duodenitis-proximal jejunitis b. Miscellaneous inflammatory bowel disorders c. Acute colitis d. Chronic diarrhea e. Peritonitis 7. Appendices a. EGUS scoring system b. Enteral fluid solutions c. GI Formulary DIAGNOSTIC APPROACH TO COLIC IN ADULT HORSES The described approach to colic workup is based on the “10 P’s” of Dr. Al Merritt. While extremely hokey, it hits the highlights in an organized fashion. You can use whatever approach you want. But, find what works best for you then stick with it. 1. PAIN – degree, duration, and type 2. PULSE – rate and character 3.
    [Show full text]
  • Choke (Esophageal Obstruction) By: Michael Ball, DVM
    Choke (Esophageal Obstruction) by: Michael Ball, DVM The word choke for me conjures up images of someone hovering over a table, unable to talk or breathe because a piece of food has lodged in their trachea or windpipe--fortunately, the Heimlich maneuver usually rectifies the situation. Choke is also used to describe a condition in horses, although it's a bit of a misnomer. The term choke in the horse refers to an esophageal obstruction, not an airway (tracheal) obstruction. Therefore, it is not an immediately life- threatening emergency. However, complications with choke include aspiration pneumonia, scarring in the esophagus, and potential rupture of the esophagus. If not corrected, it will kill the horse because the obstruction prevents the horse from eating or drinking. Unfortunately for horses, the Heimlich maneuver will not resolve the problem, but there are other treatments available. In this article, we will discuss the causes of choke, how they are treated, which horses are predisposed to choke, and what can be done to prevent it. It is best to prevent choke, since the complications related with treating it can cause more problems for the horse. Causes Choke is the most common esophageal disorder in horses. Horses can become choked on many different substances, most commonly grain or hay, but also beet pulp, corn cobs, and apples. Small horses or foals can choke on conglomerated shavings (stuck together chunks), while dangerously inquisitive horses have even been known to unsuccessfully swallow riding crops. It's clear that overly large or bulky items won't make it down a horse's esophagus into the stomach.
    [Show full text]
  • Nutrition and Feeding Management for Horse Owners (Agdex 460/51-1)
    NUTRITION AND FEEDING MANAGEMENT FOR HORSE OWNERS NUTRITION AND FEEDING MANAGEMENT NUTRITION AND FEEDING Management FOR HORSE OWNERS NUTRITION AND FEEDING MANAGEMENT FOR HORSE OWNERS Susan Novak, Ph. D Anna Kate Shoveller, Ph. D With contributions by Lori K. Warren, Ph. D Published by: Alberta Agriculture and Rural Development Information Packaging Centre 7000-113 Street Edmonton, Alberta Canada T6H 0T6 Editor: Ken Blackley Graphic Designer: Perpetual Notion Design Inc. Copyright © 2008. Her Majesty the Queen in Right of Alberta (Alberta Agriculture and Rural Development) All rights reserved No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical photocopying,recording, or otherwise without written permission from the Information Packaging Centre, Alberta Agriculture and Rural Development. ISBN 0-7732-6078-1 Copies of this publication may be purchased from: Publications Office Alberta Agriculture and Rural Development Phone: 1-800-292-5697 (toll-free in Canada) or (780) 427-0391 or see our website www.agriculture.alberta.ca/publications for information on other information products. Printed in Canada NutritioN aNd FeediNg MaNageMeNt For horse owNers • i TABLE OF CONTENTS INTRODUCTION ..................................................................................1 EVALUATING YOUR HORSE’S CONDITION ...........................................1 Body Condition Scoring ...............................................................................2 Determining
    [Show full text]
  • Upper Endoscopy (EGD)
    BRIGHAM AND WOMEN’S HOSPITAL Endoscopy Center Upper Endoscopy (EGD) Appointment Information: Patient Name: __________________________________________ MRN: ________________________________________ Physician Name: ____________________________________ Location: _______________________________________ For information on Directions, please visit: http://www.brighamandwomens.org/general/directions/directions.aspx Or call 617-732-5500 and press Option 4. Please review the enclosed preparation sheet, and complete the attached patient questionnaire. Be sure to bring the questionnaire with you on the day of your procedure. Instructions for Upper Endoscopy: Welcome to Brigham and Women’s Endoscopy Center. You have been scheduled for a procedure called an upper endoscopy (EGD). This procedure takes about 45 minutes. You should plan to spend approximately 3 hours in our Endoscopy Center. Please be aware that the 75 Francis Street Endoscopy Center closes at 6 pm and the 850 Boylston Street Endoscopy Center closes at 4:30 pm. Please make sure that your ride is available to escort you home no later than the closing time. We want your stay to be as pleasant and safe as possible. PLEASE READ NOW AND FOLLOW THESE INSTRUCTIONS ENTIRELY. For more information please visit: www.brighamandwomens.org/endoscopy 1 Updated February 2012 BRIGHAM AND WOMEN’S HOSPITAL Endoscopy Center Upper Endoscopy with possible biopsy or polypectomy What is an Upper Endoscopy? An Upper Endoscopy (En-do-skO-pE) is a test that uses a scope to look inside your esophagus, stomach and first part of the small intestines called the duodenum. This test is also called an EGD. It is done to find out the reason for • difficulty swallowing, • nausea or vomiting • pain in the stomach or abdomen • bleeding • ulcers • chest pain.
    [Show full text]
  • SDS 0723A Aspiration
    OREGON DEPARTMENT OF HUMAN SERVICES SELF-STUDY PROGRAM 0723A: Aspiration Introduction Aspiration or choking occurs at any age. Aging, disease and certain conditions can increase the risk of aspirating. In most cases, aspiration and choking can be prevented. Aspiration or choking can be life threatening and may result in death. Understanding how aspiration or choking occurs and the situations that increase their risk are the first steps toward prevention. Aspiration and choking can be very frightening. Those individuals with Aspirating can occur at any age and at conditions or diseases that increase the frequency of aspirating or any time. choking may resist eating, drinking or being fed. What is aspiration? Aspiration occurs when either food, fluid or foreign objects enter (are inhaled into) the airway (lungs). Food or fluid can be aspirated either on its way down to the stomach or on the way up, such as when an individual vomits. When aspiration occurs, gagging and coughing is the normal response. If the material is coughed out, little or no airway damage occurs. What is choking? Choking means food, liquid or a foreign object partially or completely blocks the airway. The individual may be unable to cough, talk or even breathe depending how much of the airway is blocked. An individual with a partially blocked airway may be able to move enough air to speak, cough or make wheezing sounds. An individual with a complete blocked airway cannot cough, speak or breathe. ASPIRATION PG. 1 How aspiration or choking occurs IMAGE 1 During normal swallowing, the epiglottis (see illustration) closes off the wind pipe (or larynx) to prevent anything from entering the lungs.
    [Show full text]
  • Equine Choke Mar 2015
    Equine Choke: No Heimlich Necessary By: Alexis Baney, DVM When most people hear the word "choke" they picture a person frantically waving their arms in the air pointing at their throats because they have a piece of food lodged in their airway (trachea) and are unable to breathe. At this point in the story, someone grabs them from behind and performs the Heimlich maneuver by pushing on their abdomen, causing them to forcefully expel the piece of food across the room. Humans are unable to breathe when they are choking due to obstruction of their airway (trachea). In horses, choke refers to esophageal obstruction (the esophagus is the tube that moves food from the mouth to the stomach). Horses, unlike people, are still able to breath, however choke is still a very serious medical emergency that can occur quickly. There are several causes of choke such as an impaction of feed material or roughage within the esophagus, foreign body, masses (within the esophagus or on the outside pushing against the esophagus), esophageal strictures and other acquired or congenital esophageal diseases. Predisposing factors for choke in horses are bolting food, poor dentition, feeding dry feed that swells rapidly when in contact with moisture (such as beet pulp or pellets), ingestion of foreign objects due to cribbing and sudden changes in feed material (adding in a new type of pellet or cubes). So now that you know what choke is, you may ask what does choke in a horse look like? The most common clinical sign of choke is frothy discharge containing feed material coming out of the mouth and both nostrils.
    [Show full text]
  • USHJA Horsemanship Quiz Challenge Study Guide
    Horsemanship Quiz Challenge Study Guide 1 © United States Hunter Jumper Association, Inc. Dear Horsemanship Quiz Challenge Participant: Welcome to the USHJA Horsemanship Study Guide, which was created to accompany the Horsemanship Quiz Challenge. The answer to every exam question (other than current events, rules and history of the sport) is located within the study guide. For more information regarding current events and history of the sport, visit the EAP Current Events Study Guide. For more information regarding the rules of the sport, including current USEF rules, visit the USHJA Rules Resource. The manual is broken into the following topics: Anatomy and Physiology Nutrition Bandaging Pasture Management Conditioning Riding Theory First Aid Shipping Grooming and Blanketing Shoeing Horse Handling Stable Management Horse Health Tack Horse Identification Welfare Longeing This Study Guide is not intended to be an all-encompassing source of information. Since the study guide was built around the questions for the Horsemanship Quiz Challenge, some areas are covered in more depth than others. As the HQC grows and evolves, so will the study guide. Should you find any errors, please bring them to the attention of the USHJA staff at [email protected] so that they may be corrected. Thank you for your interest in horsemanship and the Horsemanship Quiz Challenge. Good luck! USHJA Horsemanship Quiz Challenge Program Committee 2 © United States Hunter Jumper Association, Inc. Table of Contents ANATOMY AND PHYSIOLOGY...........................................................7
    [Show full text]
  • A Surgical Approach for Oesophageal Choke in A
    International Journal of Science, Environment ISSN 2278-3687 (O) and Technology, Vol. 7, No 5, 2018, 1662 – 1665 2277-663X (P) A SURGICAL APPROACH FOR OESOPHAGEAL CHOKE IN A CROSSBRED COW *Satish Pund1, Vikas Chattar2 and Pandurang Netake3 1Livestock Development Officer, Taluka Mini Veterinary Polyclinic, Rahata, Dist: Ahmednagar, 423107 (MH) India 2Livestock Development Officer, Veterinary Dispensary Rui, Rahata, Dist: Ahmednagar, 423109(MH) India 3Veterinary Practitioner, Rahata, Dist: Ahmednagar, 423107 (MH) India E-mail: [email protected] (*Corresponding author) Abstract: A Six year old crossbred cow was presented with a history of excessive salivation, restlessness, inability to swallow feed or water and regurgitation of the same through nostrils, severe bloat and palpable swelling at the left lateral cervical part of the oesophagus. It was diagnosed as a cervical oesophageal obstruction (choke) by passing stomach tube. Oesophagotomy was performed and foreign body (unripened Guava) was successfully removed. Keywords: Oesophagatomy, choke, guava, foreign body, oesophagial obstruction, cow. Introduction Choke (Esophageal obstruction) is been encountered frequently in large ruminants caused by large sized food stuffs, foreign objects, trichobezoars or esophageal granulomas and is an emergency surgical condition causing severe tympany which may be life threatening if not treated timely (Radostits et al., 2000). The common sites of obstruction in bovines include pharynx, cervical esophagus, thorasic inlet, base of heart and cardia (Thyagi and Singh 1993). The reported causes of oesophageal obstruction in buffaloes include rexin (Shivaprakash et al.,1998), leather (Salunke et al., 2003), coconut (Madhava Rao et al.,2009), cloth (Kamble et al., 2010), palm kernel (Hari Krishna et al.,2011) and unrippened mango (Mandagiri et al., 2017).
    [Show full text]
  • Gastroscopy: Oesophago-Gastro Duodenoscopy
    Gastroscopy Oesophago-gastro duodenoscopy (OGD) Your appointment details, information about the examination, and consent form Please bring this booklet with you to your appointment 1 2 Your appointment An appointment for your Gastroscopy has been arranged at: John Radcliffe Hospital, Endoscopy Unit Telephone Oxford (01865) 221466 Horton Hospital, Endoscopy Unit Telephone Banbury (01295) 229668 Day and date: ..................................................................... Time: ..................................................................... Please telephone the Endoscopy Unit on the relevant telephone number above if this appointment time is not convenient for you or if you are unable to keep your appointment. This will enable staff to arrange another date and time for you and to give your appointment to someone else. Please leave all valuables at home. The hospital cannot accept responsibility for these items. If you need travel information please refer to the website at www.oxfordradcliffe.nhs.uk or telephone the numbers above and we will send you an information leaflet. 3 Introduction You have been advised by your GP or hospital doctor to have a gastroscopy examination. Your formal consent is required before we can carry out this examination. This booklet has been written to explain how the examination is carried out and what the risks are. This will help you to make an informed decision in agreeing to the examination and whether you wish to have a sedative. The consent form is at the front of the booklet. If there is anything you do not understand, or anything you wish to discuss further - but still wish to attend for the appointment, do not sign the consent form. Instead, bring it with you and you can sign it after you have spoken to one of our doctors.
    [Show full text]