Presented in part at the 17th International Veterinary Emergency and Critical Care Symposium in Nashville, TN, September 2011.
Current Treatment of Ascending Colon Volvulus in Horses: A Survey of ACVS Diplomates
Article first published online: 14 APR 2014
© Copyright 2014 by The American College of Veterinary Surgeons
Volume 44, Issue 3, pages 398–401, April 2015
How to Cite
Fiege, J. K., Hackett, E. S., Rao, S., Gillette, S. C. and Southwood, L. L. (2015), Current Treatment of Ascending Colon Volvulus in Horses: A Survey of ACVS Diplomates. Veterinary Surgery, 44: 398–401. doi: 10.1111/j.1532-950X.2014.12195.x
- Issue published online: 10 APR 2015
- Article first published online: 14 APR 2014
- Manuscript Accepted: 1 FEB 2014
- Manuscript Received: 1 JUL 2013
- Funded in part by the Colorado State University Advances in Equine Health Fund
To report the results of a survey of opinions on current treatments and estimated outcomes of ascending colon volvulus in horses.
American College of Veterinary Surgeons (ACVS) Diplomates (n = 151) who perform gastrointestinal surgery in horses.
ACVS Diplomates with credentials in the large animal specialty obtained by examination in 2010 or earlier (n = 410) were solicited by e-mail to complete a web-based survey designed to determine ascending colon volvulus treatment preferences and outcomes.
Responses were obtained from 162 ACVS Diplomates, of which 151 currently performed gastrointestinal surgery in horses. Horses surgically treated with ascending colon volvulus accounted for ≤20 cases/year and primary treatment was most often anatomic reduction with or without pelvic flexure enterotomy. Median estimated survival rate was 70% and surgical treatments were not associated with estimated survival (P = .27). Diplomates identified early surgical correction as the single most important factor impacting survival of horses surgically treated for ascending colon volvulus.
Reported survival rates for horses with ascending colon volvulus were good. Respondents indicated this might be due in part to early surgical treatment. Survey investigations can provide preliminary data for future prospective studies and facilitate a consensus among Diplomates in treatment of surgical disease.