PMID- 31810083
OWN - NLM
STAT- MEDLINE
DCOM- 20200529
LR  - 20220411
IS  - 2567-5834 (Electronic)
IS  - 1434-1220 (Linking)
VI  - 47
IP  - 6
DP  - 2019 Dec
TI  - [Comparison between gastric ultrasonography findings and the obtained reflux 
      amounts in warmblood horses - First results].
PG  - 366-371
LID - 10.1055/a-1019-7307 [doi]
AB  - OBJECTIVE: The aim of the present study was to investigate the degree of 
      correlation between ultrasonographic findings of the stomach and the obtained 
      reflux volume in horses with secondary gastric distension. MATERIAL AND METHODS: 
      In this prospective, controlled clinical study, warmblood horses presented with 
      secondary gastric distension at the Clinic for Horses between 2017 and 2018 were 
      included. Gastric fluid content was assessed sonographically by evaluating the 
      number of intercostal spaces with detectable fluid level as well as the maximum 
      height of gastric fluid. These findings were compared to the amount of reflux 
      obtained. RESULTS: Eleven horses with a total of 52 examinations were included 
      into the study. Gastric fluid levels were detectable over a median of 6 
      intercostal spaces (interquartil range [IQR] 3). The maximum extension recorded 
      was over 9 intercostal spaces. Median obtained reflux amounted to 7 liters (IQR 
      6.5), with a maximum of 14 liters. The number of intercostal spaces with 
      detectable fluid levels and obtained reflux volume exhibited a strong correlation 
      with a correlation coefficient of 0.77 (p </= 0.001). Moderate correlation 
      (correlation coefficient 0.59 with p </= 0.001) was observed between the maximum 
      height of fluid levels and the obtained volume of reflux. Based on number of 
      intercostal spaces with measurable gastric fluid levels estimation values for the 
      obtainable reflux volume were established. When fluid levels are detectable over 
      5 or 6 intercostal spaces approximately 5.7-7.4 liters of reflux are to be 
      expected. The maximum height of gastric fluid levels may be considered 
      insufficient for an accurate prediction of reflux volume due to the moderate 
      correlation of these 2 parameters. CONCLUSION AND CLINICAL RELEVANCE: Due to the 
      high correlation between number of intercostal spaces with sonographically 
      detectable fluid levels and the obtained reflux volume, this parameter seems to 
      be adequate to predict reflux amount. Based on this estimation, management of 
      horses with paralytic ileus may be optimized.
CI  - (c) Georg Thieme Verlag KG Stuttgart . New York.
FAU - Bankert, Julia
AU  - Bankert J
AD  - Klinik fur Pferde, Veterinarmedizinische Fakultat der Universitat Leipzig.
FAU - Winter, Karsten
AU  - Winter K
AD  - Institut fur Anatomie, Medizinische Fakultat der Universitat Leipzig.
FAU - Scharner, Doreen
AU  - Scharner D
AD  - Klinik fur Pferde, Veterinarmedizinische Fakultat der Universitat Leipzig.
LA  - ger
PT  - Comparative Study
PT  - Journal Article
TT  - Vergleich zwischen sonografischen Untersuchungsbefunden am Magen und gewonnener 
      Refluxmenge beim Warmblutpferd.
DEP - 20191206
PL  - Germany
TA  - Tierarztl Prax Ausg G Grosstiere Nutztiere
JT  - Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere
JID - 9715779
SB  - IM
MH  - Animals
MH  - Female
MH  - Gastroesophageal Reflux/metabolism/*veterinary
MH  - Horse Diseases/*metabolism
MH  - Horses
MH  - Intestinal Diseases/metabolism/*veterinary
MH  - Male
MH  - Prospective Studies
MH  - Regression Analysis
MH  - Stomach/chemistry/*diagnostic imaging
MH  - Ultrasonography/veterinary
COIS- Die Autoren bestatigen, dass kein Interessenkonflikt besteht.
EDAT- 2019/12/07 06:00
MHDA- 2020/05/30 06:00
CRDT- 2019/12/07 06:00
PHST- 2019/12/07 06:00 [entrez]
PHST- 2019/12/07 06:00 [pubmed]
PHST- 2020/05/30 06:00 [medline]
AID - 10.1055/a-1019-7307 [doi]
PST - ppublish
SO  - Tierarztl Prax Ausg G Grosstiere Nutztiere. 2019 Dec;47(6):366-371. doi: 
      10.1055/a-1019-7307. Epub 2019 Dec 6.