OUT­COMES FOR ESOPHAGEAL SURGERY RE­VIEWED

EQUUS - - Eq Medical Front -

The prog­no­sis for horses who un­dergo esophageal surgery is guarded, de­pend­ing largely on whether post­op­er­a­tive com­pli­ca­tions de­velop, ac­cord­ing to a Cana­dian study.

Re­searchers at the Univer­sity of Guelph re­viewed the records of 27

horses who un­der­went var­i­ous sur­gi­cal pro­ce­dures on the esoph­a­gus. These in­cluded the cre­ation of an open­ing for the in­ser­tion of a feed­ing tube (esophagos­tomy), re­moval of ob­struc­tions from the esoph­a­gus (esophago­tomy), the widen­ing of a mus­cle in the lower por­tion of the

Ref­er­ence: “Clin­i­cal in­di­ca­tions, com­pli­ca­tions and long-term out­come of esophageal surg­eries in 27 horses,” Cana­dian Vet­eri­nary Jour­nal, De­cem­ber 2016

or­gan (esophagomy­otomy) to en­cour­age the flow of food to the stom­ach; and the re­pair of dam­age caused by trauma (esophago­plasty).

The data showed that 67 per­cent of the horses sur­vived to be dis­charged from the hos­pi­tal, and a year after surgery, 41 per­cent were alive and free of com­pli­ca­tions.

The higher the num­ber of post­op­er­a­tive com­pli­ca­tions a horse had---the me­dian was three per horse---the less likely he was to sur­vive.

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