Thursday 30 April 2015

ENTEROLITHS

Enteroliths are concretions composed of magnesium ammonium phosphate salts that forms slowly around a nidus such as a small metallic object or stone.

Enteroliths are single or multiple and usually do not cause any clinical signs unless they become lodged in the transverse or small colon.

It is commonly seen in middle aged horses,with Arabians, Morgans , Saddlebreeds and Miniature horses.

A large percentage of affected horses are on an Alfalfa diet with a high magnesium and protein content

That foreign object can be as insignificant as a sliver of wood or a piece of binder twine that didn’t get sorted out from the hay.

In the rare instance that the body fails to expel the indigestible particle, it tries to protect the gut instead, by encasing the object in layers of mineral deposits

Small ones are generally passed in the manure (eventually), but larger ones can be responsible for mysterious, recurrent colic and need to be removed surgically before they cause a fatal intestinal rupture.

Clinical signs

  • Decreased faecal passage,colic and weight loss.
  • If enteroliths is in colonic mucosa, the obstruction is complete and gas and ingesta accumulates leads to severe acute abdominal pain.
  • Tachycardia
  • Abdominal distension
  • Nasogastric reflux


Diagnosis

Diagnosing enteroliths is usually done by a combination of radiographs and surgical exploration

Preventions

  • Eliminate, as much as possible, the chance that your horse will ingest a foreign object by removing binder twine from hay and checking his surroundings and paddocks for debris and garbage.
  • Feeding on the ground should be avoided.
  • Feed grass hay. Most horses that develop enteroliths have a diet of at least 50% alfalfa hay, which has much higher levels of calcium, magnesium, and protein than grass hay.
  • Reduce the amount of wheat bran in your horse’s diet. Bran provides high levels of phosphorus, which could contribute to enterolith formation.
  • Provide free-choice hay or increase the number of feedings each horse gets per day. This will help keep the digestive system occupied because when the gut isn’t actively moving feed material along its length, it could be providing a favorable environment for enteroliths to incubate and grow.
  • Provide daily exercise and avoid prolonged stall confinement. Inactivity also contributes to reduced intestinal movement of feed.

References


The Equine Manual by Andrew J.Higgins and Jack R.Snyder
thehorse.com

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