Short communication: ultrasonographic examination of the abomasal position in dairy cows during the peripartal period

The objective of this study was to document the abomasal position during the peripartal period by ultrasonographic measurement to get more data about the topographic dynamic. In 12 dairy cows the abomasal position was measured daily from the 5th day before calving up to the 5th day after calving by a transabdominal ultrasonographic examination (5 MHz convex transducer). The abomasal position was described by means of 3 measured distances: (a) the distance between the cranial margin of the abomasum and the xiphoid cartilage, (b) the distance between the right margin of the abomasum and the median line and (c) the distance between the left margin of the abomasum and the median line. Prepartal the abomasal position was different from the position during the postpartal period. Its position was more cranially (p < 0.05) and more right laterally (p < 0.05). The left margin was not detectable at the left side of the mid-line ante partum. Directly after calving the left margin of the abomasum was found left of the linea alba (p < 0.05). These results show that there is a great influence of the gravid uterus on the abomasal position. The abomasum is positioned more cranially and more right lateral during the end of pregnancy. This position changes immediately after calving.     

Ultrasonographic findings in cows with right displacement of the abomasum and abomasal volvulus

Seventeen cows with right displacement of the abomasum (rda) without abomasal volvulus, nine cows with abomasal volvulus and 10 clinically healthy cows were examined ultrasonographically. A 5.0 MHz transducer was used to scan the eighth to 12th intercostal spaces and the cranial and caudal aspects of the flank on the right side. The position, size and dorsal and ventral margins of the abomasum were determined at each imaging position. In both groups of diseased cows, the ventral abomasum contained fluid ingesta, which appeared hypoechogenic with diffuse echogenic stippling. The abomasal folds could be seen clearly as echogenic sickle-shaped structures within the ingesta. The dorsal abomasal gas cap varied in size and was characterised by reverberation artefacts, which appeared as echogenic lines running parallel to the body surface. Compared with the healthy cows, the abomasum was larger and located significantly closer to the midline of the dorsum in both groups of cows. Compared with the cows with rda, the abomasum in the cows with abomasal volvulus was significantly smaller in the eighth intercostal space and significantly larger in the 11th intercostal space. It was not possible to differentiate between rda and abomasal volvulus on the basis of the ultrasonographic findings.     

Ultrasonographic assessment of change in abomasal position during the last three months of gestation and first three months of lactation in Holstein-Friesian cows

OBJECTIVE: To determine changes in abomasal position and dimensions during the last 3 months of gestation and first 3 months of lactation via transabdominal ultrasonography and determine whether surgical correction of left-displaced abomasum (LDA) by right flank omentopexy alters abomasal position within the abdomen in Holstein-Friesian cows. DESIGN: Observational study. ANIMALS: 20 heifers and 20 cows with no history of an LDA and 7 cows that had been treated for LDA via right flank omentopexy during an earlier lactation. Procedure-Ultrasonographic measurements were obtained 8 times during the last 3 months of gestation and first 3 months of lactation. Abomasal length, width, and volume were calculated from these measurements. RESULTS: The abomasum was always wider than it was long and located predominantly to the right of the midline. The presence of a right flank omentopexy had no effect on the measured parameters. Abomasal length decreased and width increased during the last 3 months of gestation, resulting in a more transverse orientation of the abomasum within the abdomen. These changes appeared to be in response to cranial expansion of the gravid uterus. The abomasum returned to a more caudal and right sagittal position within 14 days after parturition. CONCLUSIONS AND CLINICAL RELEVANCE: Abomasal dimensions, position, and volume change markedly during the last 3 months of gestation and first 3 months of lactation. Results permit detection of abnormal abomasal position in ill cows and indicate that the preferred location for abomasopexy is 20 cm caudal to the xiphoid process and 5 to 10 cm to the right of the ventral mid-line.     

Ultrasonography of the omasum in cows with various gastrointestinal diseases

The omasums of 30 healthy cows and 55 cows with various gastrointestinal disorders (10 with left displacement and eight with right displacement of the abomasum, 10 with abomasal volvulus, 10 with traumatic reticuloperitonitis, nine with ileus of the small intestines and eight with reticulo-omasal stenosis) were examined ultrasonographically on the right side of the body with a 3.5 MHz linear transducer. The dorsal and ventral margins of the omasum and its size in the fifth to 11th intercostal spaces were determined. Generally, the ultrasonographic appearance of the omasum did not differ between the healthy and abnormal cows. The omasum appeared as a semicircle, and the omasal wall closest to the transducer was visible as a thick echogenic line. In a few of the abnormal cows, the omasal laminae were visible and the omasum appeared to have motility. In the cows with left and right displacement of the abomasum and abomasal volvulus, the dorsal margin of the omasum was significantly further from the dorsal midline in some intercostal spaces than in the healthy cows. In the cows with left displacement of the abomasum, the ventral margin of the omasum was significantly further from the dorsal midline in the 7th intercostal space than in the healthy cows. In the cows with reticulo-omasal stenosis, traumatic reticuloperitonitis and ileus of the small intestine, the ventral margin of the omasum was significantly closer to the dorsal midline in some intercostal spaces than in the healthy cows. The mean (sd) size of the omasum in the healthy cows varied from 16.3 (1.5) cm to 56.9 (10.0) cm, depending on the intercostal space, and the omasum was significantly smaller in some intercostal spaces in the cows with reticulo-omasal stenosis, right displacement of the omasum, abomasal volvulus and ileus of the small intestine.     

Changes in the feed intake, pH and osmolality of rumen fluid, and the position of the abomasum of eight dairy cows during a diet-induced left displacement of the abomasum

During the last six weeks of the dry period, eight Holstein-Friesian cows were fed a restricted amount of grass silage; after calving, a mixture of maize silage and concentrates was offered in a feeding regimen designed to induce a displacement of the abomasum. In the first month after calving, the cows were monitored for the following variables: feed intake and composition, milk production, the position of the abomasum, and the pH and osmolality of the rumen contents. In five of the eight cows, a left displacement of the abomasum occurred between four and 21 days after calving in the absence of other diseases. The displacement was temporary, lasting between five and 36 consecutive hours and one or two days in two of the cows (floaters), and for three or more days in the other three. Before these three cows developed the displacement, their abomasum was 4.3 to 7.9 cm higher, its contents had a higher mean osmolality (+19.2 mosmol/kg), and the ratio of roughage to concentrates in their feed was lower (-0.87) than in the three cows that did not develop clinical signs of a displaced abomasum. There were no significant differences in these variables between the floaters and the healthy cows.     

Changes in abdominal dimensions during late gestation and early lactation in Holstein-Friesian heifers and cows and their relationship to left displaced abomasum

The changes in abdominal dimensions and contour during late gestation and early lactation were investigated in 44 Holstein-Friesian cattle, 20 normal heifers and 17 normal cows, and seven cows that had a left displaced abomasum (LDA) surgically corrected by a right flank omentopexy in a previous lactation. Abdominal measurements were made eight times during the six months spanning the last trimester of pregnancy and the first three months of lactation, they included the circumference of the thorax and abdomen, the depth and width of the abdomen, the vertical distance between the ventral abdomen and the descending duodenum, the height at the withers, and the length of the trunk. There were significant changes in these dimensions during the last trimester of pregnancy, immediately after parturition and during the first three months of lactation. The depth of the abdomen and the vertical distance between the ventral abdomen and the descending duodenum were greater in the cows with a previous history of LDA than in those without.     

Ultrasonography of the reticulum, rumen, omasum and abomasum before, during and after ingestion of hay and grass silage in 10 calves

The reticulum, rumen, omasum and abomasum were assessed via ultrasonography in 10 healthy female calves before, during and 2h after feeding hay and grass silage. The evaluations were made using an ultrasound machine with a 5.0MHz linear transducer. The reticulum could be visualized before feeding in all the calves. Its appearance and pattern of contractions were similar to those in adult cattle, although the amplitude (5.2±1.06cm) and velocity (3.5±1.42cm/s) of the first contraction were markedly less than in adult cattle. The position and size of the entire rumen including the dorsal and ventral sacs and the ruminal contents were assessed. Except for its smaller size, the ultrasonographic appearance of the omasum of calves was similar to that of adult cattle. The abomasum was seen to the left and right of the ventral midline before feeding in all calves; it occupied considerably more space on the left than the right. Compared with its appearance before feeding, the ultrasonographic appearance of the rumen, omasum and abomasum did not change during or after feeding. Ultrasonography is an ideal imaging tool for evaluating the reticulum, rumen, omasum and abomasum before, during and after feeding in calves.     

Ultrasonography of the reticulum, rumen, omasum, and abomasum in 10 calves before, during, and after ingestion of milk

The reticulum, rumen, omasum, and abomasum were assessed via ultrasonography before, during, and 15, 30, and 120 minutes after feeding milk to 10 healthy calves. The ultrasonographic examinations were conducted using a 5.0 MHz linear transducer. Loops were recorded on video for further evaluation. The reticulum could be visualised before feeding in seven calves. Its appearance and pattern of contractions were similar to those in adult cattle, although the amplitude (1.7 ± 0.75 cm) and velocity (2.7 ± 1.34 cm/s) of the first contraction were smaller than in adult cattle. The reticulum could not be visualised in any of the calves during feeding as it was displaced cranially and laterally and therefore being obscured by the lungs as the abomasum expanded with the ingested milk. 2 hours post ingestion it remained obscured in 5 individual and was visualized again the other 5. The position and size of the entire rumen including the dorsal and ventral sacs and the ruminal contents were assessed. There were no changes in the ultrasonographic appearance of the rumen during or after feeding. Except for its smaller size, the ultrasonographic appearance of the omasum of calves was similar to that of adult cattle. Milk flow through the omasum could not be seen in any of the calves, and there were no changes in the appearance of the omasum during and after feeding. The abomasum was seen to the left and right of the ventral midline before feeding in all calves; it occupied considerably more space on the left than the right. The flow of milk into the abomasum and milk clotting, which occurred 15 minutes after feeding, could be seen in all calves. The milk clots started to slowly disintegrate 30 minutes after the start of feeding, and by 2 hours post feeding, this process was greatly advanced but remained incomplete. Ultrasonography is an ideal tool for the evaluation of the reticulum, rumen, omasum, and abomasum before, during, and after the ingestion of milk in calves.     

A new method for detecting the abomasal position and characteristics of movement at the onset of the left displacement of the abomasum in cows

A new method has been developed by us to observe the movements of the abomasum by using a magnet and digital magnetometer. Four cows with left displacement of the abomasum underwent conventional correction by rolling without tacking. A doughnut-type magnet was sutured to the pyloric region in a routine operation. The same was done in three control cows. The position of the pyloric region was observed with a digital magnetometer from outside the cow's body. The magnets in the pyloric region of the control cows were located at the right side of the abdominal cavity at 10-30 cm anterior to the udder base, and moved slightly in various directions within the span of a day. On the other hand, the magnets in the pyloric region of cows with abomasal displacement moved widely in the abdominal cavity from the normal right side to the abnormal left front side. A large movement of the magnet from the normal right side to the abnormal left side of the abdominal cavity was observed within 12 h of the onset of abomasal displacement.     

Ultrasonographic examination of the forestomachs and the abomasum in ruminal drinker calves

Background

The study investigated the ultrasonographic appearance of the reticulum, rumen, omasum and abomasum of calves with ruminal drinking syndrome.

Methods

In ten milk-fed calves with ruminal drinking syndrome the reticulum, rumen, omasum and abomasum were examined by ultrasonography using a 5-MHz linear transducer before, during and after the ingestion of milk.

Results

The reticulum could be imaged in eight of ten calves before feeding. The reticular wall appeared as an echoic line, similar to mature cattle, and reticular folds were seen in eight calves. The reticular content appeared as echoic heterogeneous fluid. Reticular contractions were biphasic with 1.0 ± 0.38 contractions per minute. The rumen had a mean wall thickness of 2.1 mm dorsally, 3.5 mm at the level of the longitudinal groove, and 3.2 mm ventrally. The ventral sac of the rumen of all calves contained echoic heterogeneous liquid. During feeding the milk entering the rumen could be seen as hyperechoic liquid in five calves. The omasum was seen on the right side as a crescent-shaped line medial to the liver in seven calves. Only the omasal wall closest to the transducer was seen as an echoic line with a mean thickness of 2.7 mm. The ultrasonographic appearance of the omasum did not change during or after feeding. The abomasum was seen immediately caudal to the xyphoid on both sides of the midline before feeding. The mean length at the ventral midline was 22.2 cm. The ingesta were heterogeneous in all calves and the abomasal folds were distinct in eight. The mean lateral expansion of the abomasum from the ventral midline to the left and right varied from 8.7 to 13.8 cm and from 4.3 to 11.3 cm. The milk entering the abomasum was observed in all calves, and signs of milk clotting were seen in all calves 15 minutes after feeding.

Conclusion

This study showed that ultrasonography is useful for detecting milk in the reticulum and rumen of calves with ruminal drinking syndrome.     

One-step laparoscopic abomasopexy for correction of left-sided displacement of the abomasum in dairy cows

Four adult dairy cows in which a diagnosis of left-displaced abomasum (LDA) had been made underwent a 1-step laparoscopic abomasopexy (LA). The technique was performed with each cow positioned in dorsal recumbency. Two laparoscopic portals were created in the right paramedian area to identify the abomasum and direct insertion of the steel trocar and cannula into the abomasal lumen. A stainless steel toggle pin (with 2 lengths of suture attached to its midpoint) was inserted via the cannula into the abomasal lumen while the excess suture material remained exterior to the abdomen. The abomasum was deflated, and the excess suture material was withdrawn up to a preset marker on the suture to position the abomasum adjacent to the body wall. The suture was then tied to secure the abomasum in place. By use of this 1-step LA technique, LDA was successfully corrected in all 4 cows. The procedure is minimally invasive and allows viewing of the abomasum for correct positioning and fixation; it can be accomplished with the speed associated with the blind roll-and-tack technique. The 1-step LA technique may reduce the incidence of complications associated with traditional laparotomy and the blind roll-and-tack technique and could be a useful alternative procedure for the treatment of LDA in dairy cows.     

Venous blood pressure relative to the development of bovine udder edema

Cranial superficial epigastric (milk vein) and jugular venous blood pressure were measured in 8 cows with udder edema and in 3 normal control cows at least 2 weeks before parturition, at parturition, and 2 weeks after parturition. Cows with udder edema had a significant mean increase (P less than or equal to 0.05) in cranial superficial epigastric venous pressure at parturition when compared with pressures 2 weeks prepartum and 2 weeks postpartum. Unaffected control cows had an insignificant increase in cranial superficial epigastric venous pressure during these 3 periods of measurement. There was an insignificant increase in jugular venous blood pressure during the 3 periods of measurement in affected and control cows. A correlation was observed between mammary blood flow and cranial superficial epigastric blood pressure at parturition (r = -0.659, P less than or equal to 0.05).     

A comparison in 101 dairy cows of right paralumbar fossa omentopexy and right paramedian abomasopexy for treatment of left displacement of the abomasum

Right paramedian abomasopexy and right paralumbar fossa omentopexy appear to be the most widely used means of correcting left displacement of the abomasum in dairy cattle. We compared these two procedures in a prospective study of 101 cows with uncomplicated left displaced abomasum. The surgical treatment (right paramedian abomasopexy, n = 48; or right paralumbar fossa omentopexy, n = 53) was assigned randomly. Follow-up information was obtained, at regular intervals, from one week through six months following discharge from the hospital. Milk production, reproductive performance, surgical complications, and length of time retained in the herd after surgery were obtained for each animal. There was a trend in favor of the abomasopexy group in the one-month milk yield. There were no differences between procedures either in incisional complications, other problems noted at follow-up, or in the proportion dead/culled. Based on the milk yield at one month after surgery, we concluded that there may be a slight advantage to right paramedian abomasopexy in cows with uncomplicated left displaced abomasum.     

奶牛真胃变位发病规律的研究

为了阐明奶牛真胃变位的发病规律，对263例奶牛患有真胃变位的自然病例进行了研究。结果表明：真胃变位的发生与过食精料和高产奶牛有密切关系，2－4胎次体格健壮的、产后30天内的、11月份到来年的5月份奶牛发病率高。     

Blood flow parameters associated with udder oedema in Jersey cattle affected with rectovaginal constriction

Udder oedema was studied in eight Jersey cows with rectovaginal constriction (RVC) and three normal Jersey cows. A complete physical examination was performed at least two weeks before parturition, at parturition and two weeks after parturition. Jersey cows with RVC developed udder oedema as early as 14 days before parturition, and condition persisted for three to 10 days following parturition. Mammary blood flow and cranial superficial epigastric venous blood pressure were measured in three Jersey cows with RVC with udder oedema and three normal Jersey cows. The former with udder oedema had a significant decrease in mammary blood flow at parturition compared to the normal Jersey cows (P less than 0.05); there was no significant difference in mammary blood flow between Jersey cows with RVC and normal Jersey cows two weeks before parturition (P greater than 0.05). A significant mean increase in cranial superficial epigastric venous blood pressure occurred at parturition when compared to two weeks before parturition in Jersey cows with RVC (P less than 0.05), but normal Jersey cows had no significant increase in cranial superficial epigastric vein pressure during these two periods of measurement (P greater than 0.05). There was no significant increase in jugular vein blood pressure during the two periods of measurement in Jersey cows with RVC or normal Jersey cows (P greater than 0.05). There was a significant negative correlation between mammary blood flow and cranial superficial epigastric pressure at parturition (r = 0.733, P less than 0.05).     

Survival of dairy cows after surgery to correct abomasal displacement: 1. Clinical and laboratory parameters and overall survival

The objective of this study was to compare the clinical and laboratory consequences of left and right displacement of the abomasum (LDA and RDA), short- and long-term survival after surgery and the findings in cows, that could not be cured by omentopexy. Data from 564 cases of displaced abomasum (466 LDA, 98 RDA) were analysed retrospectively. Clinical and laboratory findings were compared between the two manifestations of DA. Survival was assessed after 10 days and after 15 months. Necropsy was carried out on cows that died or were killed. On arrival at the clinic, left displacement of the abomasum (LDA) cows had been recognized as diseased for longer. LDA occurred earlier in lactation, and more cows with right displacement of the abomasum (RDA) were pregnant. Overall clinical symptoms were more severe in RDA than in LDA cows. Heart rate was higher, body temperature was lower, inanition, abnormal faeces and ruminal stasis were more frequent in RDA cows. Leucocyte counts were higher, and potassium and chloride levels were lower in RDA cows. Acetonuria was more frequent in LDA cows. More LDA than RDA cows were released from the clinic as cured (82.0% versus 74.5%). However, survival after the early post-surgical period was similar for RDA and LDA cows. At necropsy, diseases of the gastrointestinal system were the predominant finding in RDA cows, while in LDA cows, diseases of the liver and other concurrent diseases were more important.     

Milk production and left displaced abomasum: cause and effect relationships

In a Danish dairy herd affected with a number of cases of left displaced abomasum the milk production during the lactation periods of affected cows was retrospectively compared to that in two groups of non-affected cows. Group A contained all cows calving at the same time as the cases, and group B had one cow for each of the cases of similar age and with similar preceding production level. The average 305-days milk production was 610 kg lower among the cases than among cows in group B, as a best estimate of the amount of milk lost for each case of left displaced abomasum. The difference between mean production in groups B and A was 183 kg, indicating a higher than average production potential among cases, since matching on preceding production level had been carried out between the cases and the cows in group B, but not in group A. It may therefore be concluded that high yielding cows are at excess risk of left displaced abomasum, which in turn leads to a considerable loss of milk among affected cows.     

Metabolic parameters and blood leukocyte profiles in cows from herds with high or low mastitis incidence

The objective of this study was to determine whether there were differences in metabolic parameters and blood leukocyte profiles between cows in herds with high or low yearly mastitis incidence. In this study, 271 cows from 20 high yielding dairy herds were examined. According to the selection criteria, all herds had low somatic cell counts. Ten of the selected herds represented low mastitis treatment incidence (LMI) and ten herds had high mastitis treatment incidence (HMI). The farms were visited once and blood samples were taken from each cow that was in the interval from three weeks before to 15 weeks after parturition. The eosinophil count was significantly lower among cows from the HMI herds in the period from four weeks to 15 weeks after parturition. The plasma concentrations of beta-hydroxybutyrate, glucose, insulin and urea did not differ between groups, but the concentration of nonesterified fatty acids was significantly higher among HMI cows during the period three weeks after parturition. The concentration of the amino acid tryptophan in plasma was significantly lower among the HMI cows prior to parturition. Glutamine was significantly lower in cows from HMI herds during the first three weeks after parturition. Arginine was consistently lower in HMI cows, although the decrease was only significant during the period from four to fifteen weeks after parturition. The results suggest that there were differences in the metabolism and immune status between herds with high or low yearly mastitis treatment incidence indicating an increased metabolic stress in HMI cows.     

Plasma lipids in normal cows around partus and in cows with metabolic disorders with and without fatty liver

Free fatty acids, cholesterol and phospholipids in plasma were studied from 6 weeks before to 6 weeks after calving in 16 normal multiparous cows. The same plasma lipids were studied the day after calving in 20 normal primiparous cows. Ten of these were fed according to standards and the other 10 were overfed the last 3 weeks prepartum. The plasma lipids were also analysed in 16 cows with left displacement of the abomasum and fatty liver, and in 16 cows with ketosis with no or only slight fat infiltration of the liver. In the normal cows there was a rise in FFA-level and a reduction in cholesterol and phospholipids from 6 weeks before to the day after calving. Thereafter there was a reduction of FFA-level and rise in cholesterol and phospholipids. Increased feed intensity had no effect on plasma lipids at calving. The level of the plasma lipids in cows with fatty liver differed very much from the amounts in normal cows at corresponding time from calving. Cows with ketosis had high FFA-level but the amount of cholesterol and phospholipids differed very little from normal cows.     

奶牛真胃变位研究进展

奶牛真胃变位是危害集约化养牛尤其是高产奶牛的多发腹腔疾病之一。据变位部位不同又可分为左方变位和右方变位。本病的病因及发病机制目前尚无一致性结论：右方变位的临床症状比左方变位严重且病程较急;具有典型的示病症状,不难做出诊断;有保守治疗和手术治疗两种治疗方法,而对于右方变位手术治疗几乎是唯一的治疗方法;加强饲养管理、合理预防和及时治疗原发病可有效降低其发病率。