Equis ISSN 2398-2977

Gastrointestinal: decompression and lavage

Contributor(s): Steve Adair, Graham Munroe, Vetstream Ltd, Jarred Williams

Introduction

  • Gastrointestinal obstruction can lead to accumulation of gas, fluid or ingesta orad to the obstruction and bloat.
  • Distention by gas and/or fluid may cause the bowel (especially the cecum and jejunum) to exteriorize when the abdomen is surgically opened Abdomen: surgical approaches and restrict abdominal exploration Abdomen: laparotomy.
  • Profound distension can lead to difficulty with respiration due to pressure on the diaphragm.

Uses

  • To permit repositioning of the bowel safely and easily.
  • Facilitate abdominal wound closure.
  • Decrease post-operative complications by:
    • Increasing gut wall perfusion.
    • Removing toxic intraluminal fluids.
    • Decreasing intra-abdominal pressure to improve respiratory ventilation.
    • Encouraging normal gut movement.

Advantages

  • Prophylactic and therapeutic procedure.
  • Inexpensive and generally easy to perform.

Disadvantages

  • Entrance into lumen of the bowel through the serosa increases opportunity for peritonitis Abdomen: peritonitis.
  • Potential iatrogenic injury to the bowel and accompanied mesentery.
    • Intraluminal lavage can cause ileus due to excessive manipulation of intestine, and intestinal irritation.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Unger L, Fouche N, Schnider D & Witte S (2014) Peritonitis, abscessation and haemorrhage: Complications of transcutaneous caecal decompression. Equine Vet Educ 26 (8), 430-435 VetMedResource.
  • White II N A (2014) Caecal decompression. Equine Vet Educ 26 (8), 436-437 WileyBlackwell.
  • Mueller P O & Allen D (1996) Instrumentation and techniques in equine gastrointestinal surgery. Vet Clin North Am Equine Pract 12 (2), 207-233 PubMed.


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