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The Equine Acute Abdomen

Stručný popis

Allows users to effectively diagnose and treat any acute disease of the stomach, intestines, peritoneum, liver and abdominal wall Provides a through discussion of normal and abnormal anatomy and physiology Surgical techniques broken down into an easy to read step-by-step format Over 410 illustrations


Autor: Nat White, DVM, MS, James Moore DVM, MS, Timothy Mair, DVM, MS Ph

Cena s DPH:  asi 4620 Kč
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Základní informace
NakladatelPlot
ISBN9781591610298
Vydání2008
Vazbapevná
Počet stran754
Obsah
Part 1. Normal Anatomy and Physiology5
Thomas M. Krunkosky, Carla Jarrett, and James N. Moore5
Esophagus5
Esophagus-Stomach Junction7
Stomach7
Stomach-Small Intestine Junction11
Small Intestine11
Large Intestine14
Liver17
Spleen18
Pancreas19
Chapter 2 Physiology of the Digestive Tract Gastric Secretory Function Michael J. Murray22
Small Intestine Function David E. Freeman25
Digestive Physiology Anatomy25
Intraluminal Digestion28
Absorption of Ions and Water29
Absorption of Carbohydrate, Protein and Fat32
Iron Absorption33
Calcium and Magnesium Absorption34
Intestinal Secretion35
Motility36
Control of Motility37
Function of the Ileum38
Large Bowel Function Marco A.F. Lopes41
Motility Patterns and Transit of Contents41
Microbial Activity and Fermentation42
Secretion and Absorption45
Liver Function Tim S. Mair54
Bile Acid Metabolism and Excretion of Bile54
Protein Metabolism54
Carbohydrate Metabolism55
Lipid Metabolism55
Detoxification and Drug Metabolism56
Storage56
Chapter 3 Effects of Feeding on Equine Gastrointestinal Function or Physiology Marco A.F. Lopes58
Feeding Grain58
Feeding Lush Grass62
Replacing Grain With Fat62
Feeding Mature Grass and Poor Quality Hay62
Feeding Large Meals Intermittently and Fasting62
Chapter 4 Intestinal Motility and Transit Peter C. Rakestraw68
Physiology of Normal Motility68
Pathophysiology of Ileus80
Treatment of Motility Disorders in the Horse82
Part 2 Pathophysiology of Gastrointestinal Diseases96
Chapter 5 Pathophysiology of Gastric Ulcer Disease Michael J. Murray96
Gastric Ulcer Disease96
Chapter 6 Pathophysiology of Gastrointestinal Disease: Obstruction and Strangulation Anthony T. Blikslager100
Simple Obstruction100
Strangulating Obstruction101
Intestinal Reparative Mechanisms107
Chapter 7 Prevention and Treatment of Postoperative Intraabdominal Adhesions in Horse P.O. Eric Mueller119
Current Concepts in Pathophysiology of Adhesion Formation119
Diagnosis of Intraabdominal Adhesions120
Current Concepts in Prevention of Adhesion Formation121
Separation of Adhesiogenic Surfaces122
Treatment of Intraabdominal Adhesions125
Adhesion Prevention Strategies125
Chapter 8 Pathophysiology of Peritonitis John F. Peroni130
Anatomy and Physiology of the Peritoneum130
Etiology of Peritonitis131
Clinical Presentation131
Diagnostic Approach132
Chapter 9 Pathophysiology of Enteritis and Colitis Harold C. McKenzie136
Inflammation136
Pain137
Ileus137
Hypermotility137
Hypersecretion138
Osmotic Diarrhea138
Decreased Absorption138
Endothelial Dysfunction138
Specific Diseases138
Chapter 10 Malabsorption Syndromes Tim S. Mair and Thomas J. Divers148
Causes of Malabsorption Syndrome148
Clinical Signs155
Diagnosis156
Treatment158
Chapter 11 Liver Diseases and Liver Failure Tim S. Mair and Thomas J. Divers162
Causes of Liver Disease162
Diagnosis of Liver Disease165
Hyperlipemia167
Theilers Disease (Serum Hepatitis)174
Other Causes of Acute Hepatic Disease and Failure in Adult Horses178
Pyrrolizidine Alkaloid Intoxication178
Cholangiohepatitis and Choledocholithiasis182
Other Biliary Conditions185
Chronic Active Hepatitis185
Klein Grass (Panicium Coloratum) Toxicity186
Alsike Clover Toxicity186
Hepatic Neoplasia187
Hepatic Amyloidosis187
Iron Overload, Hemochromatosis187
Right Hepatic Lobe Atrophy188
Chapter 12 Systemic Inflammatory Response Syndrome: Endotoxemia Reconsidered Clare E. Bryant and James N. Moore192
Responses to Pathogen-Associated Molecular Patterns192
Receptors for Gram-Negative Bacteria and Bacterial Ligands193
Receptors for Gram-Positive Bacteria and Bacterial Ligands195
Systemic Inflammatory Response Syndrome196
Inflammatory Mediators and Their Source in the Horse197
Part 3. Intestinal Parasitism204
Chapter 13 Intestinal Parasitism Christopher J. Proudman204
Principles of Iintestinal Parasitism204
Strongylus Vulgaris204
Cyathostomins207
Tapeworms208
Parascaris Equorum210
Other Intestinal Parasites211
Prevention211
Part 4. Epidemiology218
Chapter 14 Epidemiology of Colic Noah D. Cohen218
General Epidemiologic Considerations218
Incidence of Colic222
Factors that Predispose to Colic222
Factors Indicating the Need for Surgical Management of Colic225
Frequency of and Factors Associated with Survival from Colic and Colic Surgery226
Study of Colic Problems in Individuals and Herds228
Part 5. Diagnosis236
Chapter 15 Diagnosis of Gastrointestinal Disease Emma L. Rowe and Nathaniel A.White236
Signalment236
History237
Physical Examination238
Hematology, Blood Gases, and Serum Biochemistry270
Ultrasonography271
Radiographs276
Endoscopy278
Laparoscopy280
Fecal Examination280
Transit Time281
Exploratory Laparotomy281
False Colic281
Decision for Surgery282
Part 6. Medical Management292
Chapter 16 Medical Management of Gastrointestinal Diseases Tim S. Mair292
Analgesia292
Choice of Analgesics in Colic297
Treatment of Intestinal Spasm and Spasmodic Colic298
Treatment of Obstruction298
Treatment of Flatulence and Tympany302
Treatment of Ileus303
Chapter 17 Treatment of Shock Kevin T. T. Corley310
Support of the Cardiovascular System310
Fluid Therapy310
Acid Base Balance312
Types of Fluid316
Oral Fluids324
Delivery Systems326
Recognition of Hypovolemia and Dehydration327
Treatment Strategies329
Chapter 18 Treatment of Endotoxemia Kevin T. T. Corley and Gayle D. Hallowell338
Drugs that Bind or Block Endotoxin338
Anti-Inflammatory Agents340
Modulation of the Coagulation System342
Drugs Affecting Intracellular Metabolism344
Chapter 19 Treatment of Peritonitis John F. Peroni352
Medical Treatment352
Interventional Treatment352
Complications and Prognosis354
Chapter 20 Diagnosis and Treatment of Enteritis and Colitis in the Horse Harold C. McKenzie356
Diagnosis356
Specific Syndromes356
Treatmen360
Supportive Therapies360
Specific Therapies366
Surgery369
Specific Diseases370
Chapter 21 Nonsurgical Management of Nephrosplenic Entrapment of the Large Colon Joanne Hardy383
Clinical Presentation383
Diagnosis383
Nonsurgical Correction385
Complications and Prognosis387
Prevention of Recurrence387
Chapter 22 Colic in the Foal Martin O. Furr391
Abdominal Radiography391
Gastroendoscop393
Ultrasonography393
Abdominocentesis394
Case Synthesis and Management395
Surgical Treatment396
Gastroduodenal Ulceration397
Small-Intestinal Obstruction397
Large-Colon Obstruction397
Atresia398
Part 7. Nutritional Management404
Chapter 23 Nutritional Management of the Colic Patient Ray J. Geor404
Rationale for Early Initiation of Nutritional Support after Colic and Intestinal Surgery404
Estimating Nutrient Requirements405
Modes of Nutritional Therapy406
Feeding Management of Specific Gastrointestinal Conditions412
Part 8. Anesthesia for Abdominal Surgery420
Chapter 24 Anesthesia for Horses with Colic Cynthia M. Trim420
Preanesthetic Assessment420
Anesthetic Agents421
Induction of Anesthesia422
Maintenance of Anesthesia422
Anesthetic Agents in Foals424
Monitoring424
Cardiovascular Support428
Hypercapnia and Hypoxemia434
Airway Management435
Recovery from Anesthesia436
Anesthesia for Surgery in the Standing Horse437
Part 9. Surgery for Acute Abdominal Disease444
Chapter 25 Preparation of the Patient David E. Freeman444
Patient Preparation444
Antiseptics Agents445
Draping the Surgery Site446
Chapter 26 Surgical Exploration and Manipulation David E. Freeman452
Ventral Midline Incision452
Inguinal Approach454
Flank Laparotomy455
Alternative Approaches455
Abdominal Exploration456
Examination and Handling of Small Intestine468
Examination and Handling of Large Intestine469
Special Circumstances470
Intestinal Placement472
Chapter 27 Surgical Techniques David E. Freeman474
Surgical Team474
Surgical Environment and Equipment475
Gowns, Drapes and Accessories476
Decompression and Drainage477
Laparotomy Sponges482
Surgical Instruments and Suture482
Stapling Instruments485
Miscellaneous Instruments489
Surgical Procedures in the Small Intestine489
Chapter 28 Intestinal Viability David E. Freeman502
Small Intestine502
Large Colon and Cecum509
Small Colon510
Chapter 29 Large-Colon Enterotomy, Resection and Anastomosis Joanne Hardy514
Large-Colon Enterotomy514
Large Colon Resection516
Chapter 30 Small Intestinal Resection and Anastomosis David E. Freeman522
Extent of Resection522
Resection of Mesentery522
Decompression522
Resection and Anastomosis523
Stoma Size525
End-to-End Anastomosis527
Stapled Jejunojejunostomy528
Everted Triangulated Stapled Anastomosis530
Stapled versus Handsewn Anastomoses for Jejunojejunostomy530
Jejunoileostomy531
Jejunocecal and Ileocecal Anastomoses532
Pelvic Flexure Colotomy536
Chapter 31 Abdominal Closure David E. Freeman540
Closure of the Peritoneum540
Linea Alba Closure540
Techniques and Principles543
Subcutaneous Closure and Skin544
Incisional Dressing545
Recovery Stall545
Abdominal Bandages545
Postoperative Care546
Special Circumstances547
Secondary Closure548
Part 10. Intensive Care and Postoperative Care554
Chapter 32 Monitoring Treatment for Abdominal Disease Tim S. Mair and Thomas J. Divers554
Frequency of Examinations554
Physical Examinations554
Monitoring Clinical Pathology Parameters560
Chapter 33 Postoperative Complications Christo pher J. Proudman564
Postoperative Colic564
Postoperative Ileus (POI)565
Jugular Thrombosis and Thrombophlebitis566
Incisional Infection568
Incisional Hernia Formation569
Adhesions570
Laminitis572
Part 11. Specific Diseases578
Chapter 34 Diseases of the Stokách Michael J. Murray578
Gastric Ulcer Syndromes578
Gastric Impaction582
Gastric Dilation583
Neoplasia583
Chapter 35 Liver Diseases In Foals Tim S. Mair and Thomas J. Divers586
Portosystemic Shunts586
Tyzzers Disease586
Equine Herpes Virus 1 Hepatitis588
Liver Failure in Foals after Neonatal Isoerythrolysis588
Umbilical Vein Abscess Affecting the Liver589
Portal Vein Thrombosis589
Hyperammonemia of Morgan Foals590
Bile Duct Obstruction590
Toxic Hepatopathy591
Chapter 36 Diseases Of The Small Intestine David E. Freeman594
Strangulating Obstruction594
Nonstrangualting Obstruction605
Inflammatory and Infiltrative Diseases610
Chapter 37 Diseases of the Cecum; Cecocecal and cecocolic intussusception James N. Moore and Joanne Hardy618
Cecal Tympany618
Cecal Impaction619
Cecocecal and Cecocolic Intussusception622
Chapter 38 Specific diseases of the large colon Joanne Hardy628
Large-Colon Tympany628
Large Colon Impaction628
Sand Impaction631
Enterolithiasis633
Large-Colon Displacement634
Other Simple Obstructions of the Large Colon639
Large-Colon Torsion/Volvulus639
Right Dorsal Colitis642
Mural Infarction (Thromboembolic Colic)644
Other Strangulating Lesions of the Large Colon644
Chapter 39 Disorders of the Small Colon John F. Peroni650
Surgical Considerations Affected by Anatomic Features of the Small Colon650
Obstructive Lesions651
Vascular and Strangulating Lesions656
Chapter 40 Vascular and strangulating lesions Peter C. Rakestraw660
Anatomy660
Etiology and Prevention660
Location and Classification of Rectal Tears660
Clinical Signs and Diagnosis662
Emergency Management663
Medical Management664
Surgical Management665
Temporary Indwelling Rectal Liner665
Loop Colostomy666
Primary Repair671
Nonvisual Direct Suturing Per Rectum671
Ventral Midline Exposure and Antimesenteric Enterotomy for Suture Repair673
Prognosis and Recommendations674
Chapter 41 Colic and Pregnancy Elizabeth M. Santschi678
Colic during Pregnancy678
Colic in the Peripartum Period683
Chapter 42 Colic From Alternative Systems False Colics Tim S. Mair689
Pain Associated with the Female Reproductive Tract689
Pain Associated with the Male Reproductive Tract695
Pain Associated with the Urinary Tract695
Liver Diseases697
The Pancreas697
The Spleen698
Pain Associated with the Respiratory Tract698
Pain Associated with Cardiovascular Disease700
Pain Associated with the Musculoskeletal System700
Chapter 43 Abdominal InjuriesJohn F. Peroni
Diagnostic Approach704
Treatment707
Pathogenesis710
Clinical Presentation716
Treatment719
Index731