Publikationsdatenbank

Laparoscopic configuration of the nephrosplenic space in horses and its influence on left dorsal large colon displacement (2021)

Art

Vortrag

Autoren

Stael, J.

Haspeslagh, M.

Röcken, M.

Lischer, C. (WE 17)

Wilderjans, H.

Martens, A.

Kongress

30th ECVS Annual Scientific Meeting

online, 08. – 10.07.2021

Quelle

Veterinary surgery : the official journal of the American College of Veterinary Surgeons and the European College of Veterinary Surgeon

Seiten: 18 – 19

ISSN: 1532-950x

Sprache

Englisch

Verweise

URL (Volltext): https://onlinelibrary.wiley.com/doi/10.1111/vsu.13672

DOI: 10.1111/vsu.13672

Kontakt

Pferdeklinik

Oertzenweg 19 b
14163 Berlin
+49 30 838 62299 / 62300
pferdeklinik@vetmed.fu-berlin.de

Abstract / Zusammenfassung

Objectives:
Left dorsal displacement of the large colon (LDDLC) or nephrosplenic entrapment is a common colic type in horses. The goal was to examine in a retrospective single-blinded case-control study whether the shape of the nephrosplenic space (NSS) amongst other possible risk factors has an influence on the development of LDDLC.

Methods:
Laparoscopic images and/or videos of the NSS from 85 horses were evaluated: 29 cases treated with NSS closure due to (recurrent) LDDLC and 56 controls without history of LDDLC, undergoing left flank laparoscopy for other reasons. The shape and size of the NSS was evaluated blindly by three different evaluators using three self-developed techniques: NSS shape categorisation, angle measurement and depth estimation. Statistical analysis was performed on data from patient files and owner telephone interview.

Results:
Mean age of the horses was 10.45 ± 5.82 years and 40/85 horses (47%) were warmbloods. The multivariable analysis revealed that cases had a larger nephrosplenic space angle (p=0.048), significantly more cribbing behaviour (p=0.012) and a higher training intensity (p=0.025) compared to controls. In addition, taller horses had a significantly larger nephrosplenic space angle (p=0.005).

Conclusions:
This study demonstrates 3 new contributing factors to the development of LDDC, including the nephrosplenic space configuration and cribbing behaviour. Further analysis would benefit from a more random sample size as well as a distinction between recurrent and single colic episodes and response to medical or surgical treatment.