Enteroliths in horses--a retrospective study of 30 cases.

In a retrospective study of selected cases, abdominal colic in 30 horses was attributed to enterolith obstructions of the large intestine. Obstructions caused by "true" enteroliths were confined to horses more than four years old. Prominent clinical features were recurrent mild abdominal pain, inappetance, gaseous distension and minimal intestinal motility. The various aspects of the clinical syndrome, including diagnostic problems and clinical management, are discussed. Most obstructing enteroliths were found near the beginning of the small colon and most horses contained only a single major concretion. Enteroliths were formed by mineral deposition in concentric layers about a central nidus of ingested material and were spherical or tetrahedral in shape. Intestinal concretions were found to consist primarily of ammonium magnesium phosphate.     

Obstructive enterolith in an 11-month-old miniature horse.

An obstructive enterolith was diagnosed in an 11-month-old 68-kg miniature horse with a 24-hour history of mild, intermittent colic. Abdominal radiography revealed gas distention of the cecum and the right and left ascending colon, and a radiodense elliptical structure in the area of the left kidney. During exploratory laparotomy, the right dorsal colon was noticed to contain ecchymotic hemorrhage and generalized discoloration in the portion proximal to the location of the enterolith. While exteriorizing the ascending colon, it ruptured caudal to the diaphragmatic flexure in the right dorsal colon. Radiography of the enterolith did not reveal a metallic center, but division of the stone allowed identification of a canvas cloth, and chemical analysis determined the stone's composition to be ammonium magnesium phosphate. Although equine enteroliths were reported over 100 years ago and the factors involved in their formation were investigated, the reasons for their development have yet to be determined. The mean reported age of horses requiring abdominal surgery because of an obstructive enterolith is 10 years, with the youngest being 4 years. The time required for an enterolith to enlarge is unknown, although a true enterolith has not been reported in horses younger than 4 years of age.     

Dietary risk factors and colonic pH and mineral concentrations in horses with enterolithiasis

A prospective, unmatched case control study was performed to identify dietary and environmental risk factors for enterolithiasis in horses in California and to determine whether colonic ingesta analyses differed between horses with and without enteroliths. Forty-three horses with enterolithiasis were compared with 19 horses with surgical colic attributable to nonstrangulating obstruction of the colon without enteroliths. Colonic ingesta samples were collected at surgery from horses with enteroliths and control horses. Colonic pH and colonic concentrations of magnesium, phosphorus, sulfur, sodium, calcium, potassium, and nitrogen were measured. Questionnaires were distributed to owners to determine diet and management practices. Student's t-test and Mann-Whitney tests were used to evaluate differences in pH, dry matter content, percent nitrogen, and mineral content. Associations between dietary and management risk factors and enterolith occurrence were quantified by odds ratios. Mean pH of colonic contents from horses with enterolithiasis was significantly higher than for control horses. Horses with enterolithiasis had significantly lower percent dry matter in colonic fecal samples and higher mean mineral concentrations than controls. On the basis of reported feeding and management practices, horses with enterolithiasis were fed a significantly higher proportion of alfalfa in their diet and were less likely to have daily access to pasture grass than horses without enteroliths. Results suggest that decreasing alfalfa consumption and allowing daily access to pasture grazing might reduce the risk of enterolithiasis. Dietary modifications promoting acidification of colonic contents and dilution of minerals might be beneficial as preventive measures for enterolithiasis in horses.     

Petrographic and geochemic evaluation of equine enteroliths

OBJECTIVE: To characterize the texture, mineralogic features, and chemical features of enteroliths obtained from horses. SAMPLE POPULATION: Enteroliths from 13 horses with colic. PROCEDURE: Enteroliths were harvested from 13 horses that underwent ventral midline celiotomy for treatment of colic or necropsy because of colonic obstruction and rupture caused by enteroliths. Dietary and environmental history were determined via questionnaires or evaluation of medical records. In 7 horses that underwent surgical treatment for enterolithiasis, samples of colonic contents were obtained via an enterotomy in the pelvic flexure. Colonic concentrations of magnesium (Mg), phosphorus (P), sulfur (S), sodium (Na), calcium (Ca), and potassium (K) were determined. Enteroliths were analyzed via electron microprobe analysis and X-ray diffraction. RESULTS: Enteroliths varied widely regarding degree of porosity, presence and distribution of radiating texture, and composition and size of the central nidus. A distinct concentric banding was identifiable in all enteroliths. Struvite was the predominant component of all enteroliths, although Mg vivianite was identified in 5 enteroliths, and there were variable quantities of Na, S, K, and Ca in the struvite within enteroliths. Despite an abundance of Ca in colonic fluids, Mg-phosphate minerals were preferentially formed, compared with Ca-phosphates (apatite), in equine enteroliths. CONCLUSIONS AND CLINICAL RELEVANCE: Enteroliths comprise 2 major Mg phosphates: struvite and Mg vivianite. There is wide variability in macrotexture and ionic concentrations between and within enteroliths.     

Mineral nutrition of the sow: a review

The sow varies greatly in her mineral requirements, which largely reflects the nutritional demands during different phases of her reproductive cycle. Minerals are required for conceptus product formation, mammary secretions, and growth and maintenance. Although the sow's mineral requirements are highest during late gestation and lactation, those that are supplied from the diet and tissue reserves both contribute in meeting these nutritional needs. The sow is fairly resilient to borderline mineral insults, but longevity in the herd may be compromised under these conditions. Specific mineral deficiencies vary, but the reproducing sow will deplete the pool of tissue minerals before litter size, congenital abnormalities of developing fetuses or milk mineral composition are affected. Inadequate mineral supplies may prolong the duration of parturition, increase the number of stillbirths and result in a higher occurrence of skeletal problems. Tissue mineral reserves can be increased in various tissues with higher dietary fortification, but subsequent mineral availability from various pools differ. Because feed intake during lactation is low, daily mineral intake during lactation often is below NRC (1988) requirements.     

Risk factors for enterolithiasis among horses in Texas

OBJECTIVE: To identify risk factors for enterolithiasis in horses. DESIGN: Matched case-control study. ANIMALS: 26 horses with enteroliths, 104 horses with other causes of colic that underwent surgery (52 horses, surgical control group) or were treated medically (52 horses, nonsurgical control group). PROCEDURE: Medical records were reviewed for horses with enteroliths and control horses. Information collected included signalment, anamnesis, and findings on physical examination and clinicopathologic testing at admission. Horses with enteroliths and control horses were compared by means of conditional logistic regression to identify factors associated with enterolithiasis. RESULTS: Horses that were fed alfalfa hay, spent < or = 50% of time outdoors, or were Arabian or miniature breeds had an increased risk of developing enteroliths. Horses with enteroliths were more likely to have been hyperbilirubinemic and to have had clinical signs > 12 hours prior to admission. CONCLUSIONS AND CLINICAL RELEVANCE: Breed and diet appear to influence the risk of enterolithiasis; other management factors also may influence development of enteroliths. Duration of clinical signs may be longer and signs may be less severe among horses with enteroliths, compared with horses with other causes of colic.     

Postoperative Complications and Survival after Enterolith Removal from the Ascending or Descending Colon in Horses

Objective: To compare incidence of postoperative complications and survival of horses that had surgery for enterolithiasis of the ascending (AC) or descending (DC) colon. Study design: Case series Animals: Horses (n=236) that had celiotomy for AC (n=97) or DC (n=139) enterolithiasis. Methods: Medical records (1999–2005) were reviewed for signalment, presenting clinical signs, surgical findings, postoperative complications, and short‐term survival until discharge. Information on performance and survival ≥1 year was obtained by telephone or mailed questionnaire. Results: Number of postoperative complications did not differ between groups (P=.76). The most frequently identified short‐term complications for all horses were incisional problems, gastric ulceration, ileus, diarrhea, fever, and anorexia. Horses with DC enteroliths had a significantly higher incidence of anorexia (P=.04) and fever (P=.01). The most common complications after hospital discharge were incisional problems, laminitis, weight loss, and colic. Although more DC horses were euthanatized intraoperatively (P=.02), no differences were detected for horses that survived until discharge (P=.18) or ≥1 year after discharge (P=.47). Conclusions: Number or type of postsurgical complications or survival after surgery was not influenced by enterolith location and horses have a favorable prognosis for long‐term survival after enterolith removal, regardless of site of obstruction in the colon. Clinical Relevance: Incidence of postoperative complications and survival are not affected by the site of enterolith obstruction in the colon.     

A Modified Teniotomy Technique for Facilitated Removal of Descending Colon Enteroliths in Horses

Objective—To describe a method for facilitating movement of enteroliths obstructing the proximal portion of the descending colon.
Study Design—Prospective report. Sample Population—15 horses.
Methods—A seromuscular incision through the antimesenteric taenia of the proximal portion of the descending colon was used to facilitate movement of enteroliths.
Results—Teniotomy allowed proximal descending colon enteroliths located within the abdomen or close to the abdominal wall to be advanced 4 to 15 cm in an aboral direction so that they could be exteriorized for safe removal.
Conclusions and Clinical Relevance
Teniotomy is a feasible method for mobilizing enteroliths in the proximal descending colon in locations that cannot otherwise be exteriorized.     

Epidemiology of trichinellosis in Mexico, Central and South America

Trichinella species are widely distributed throughout the world and are found in a large number of carnivorous animals, humans and incidental hosts. The data presented in this review show that Trichinella infection has been reported in both humans and animals in Mexico, Argentina and Chile since the end of the 19th century, and more recently in Bolivia. This parasitic infection is still a public health problem in countries such as Argentina and Chile. Although efforts have focused on the control and prevention of trichinellosis in these countries, there were still human cases and outbreaks of trichinellosis reported. Diagnosis of infection in animals such as pigs still includes, in many endemic areas, the use of trichinoscopy. In Argentina, however, artificial digestion has been recently introduced in slaughterhouses to detect Trichinella infection in pigs. In some endemic areas in Mexico, the use of serological assays for human trichinellosis and pig infections have resulted in improved detection. Most of the outbreaks of human trichinellosis in Mexico, Argentina and Chile have occurred as a result of the consumption of undercooked pork or pork products from animals raised under poor hygienic conditions and which are clandestinely slaughtered. In several studies, rats, dogs and cats have been found to be infected with Trichinella and may be considered a risk for transmission of the infection to pigs or other animals intended for human consumption. Another potential source of transmission of Trichinella to humans is horsemeat; however, information related to horse trichinellosis in Latin-American countries is scarce. In most cases the etiological agent of human trichinellosis in Central and South America has been reported to be Trichinella spiralis; however, only in a few cases has the parasite species been properly identified. Based on the reports available, it is clear that there is a need to carry out better controlled epidemiological studies to determine the true prevalence of the infection in this region of the world. Also, more sensitive methods of diagnosis and improvements in conditions for pig production as well as better sanitary inspection systems, are needed for controlling and preventing transmission of trichinellosis in these countries.     

Copper in the nutrition of pigs and rabbits: A reviewLe cuivre dans la nutrition des porcs et des lapins: Une mise au pointKupfer in der ernährung von schweinen und kaninchen: Eine übersicht

Copper (Cu) is needed by pigs and rabbits to prevent microcytic hypochromic anaemia, dermatosis and bone marrow problems and to maintain the integrity of the cardiovascular system. Cu also performs metabolic functions as a constituent of several enzymes systems in the body. Actual Cu deficiency is rare in pigs and rabbits fed balanced diets; however, in adequate Cu intake may arise under certain dietary conditions. While Cu levels higher than those required to satisfy the body needs may be dangerous for some livestock species, pigs and rabbits can tolerate and often respond to dietary Cu levels of up to 250 ppm (about 50 times higher than their requirements). This response is shown by improved growth and feed utilization. Levels approaching 500 ppm in pig diet will result in poor growth, toxicity and, in some cases, death. The rabbit, on the other hand, has a higher tolerance for Cu and will not show any toxicosis at such high Cu levels. Dietary conditions, including mineral balance, level and type of protein, as well as some energy sources like cassava meal affect Cu utilization in both species. In the rabbit, dietary ascorbic acid interferes with Cu utilization. Some implications of Cu feeding on meat quality are discussed. Suggestions are also made for further investigations on the use of Cu for efficient production of both pigs and rabbits.     

Head and neck abscessation and thrombophlebitis following cheek tooth extraction in a pony

Due to their long hypsodont reserve crowns, extraction of equid cheek teeth can be difficult and result in more complications than the extraction of their shorter brachydont counterparts although the more recent resumption of oral extraction has greatly reduced such complications. The more common post-extraction sequelae in equids include non-healing alveoli due to retained dental or alveolar sequestrae which may lead to oromaxillary or oronasal fistula formation, chronic external sinus tract formation or osteomyelitis of the supporting bones. Collateral damage to adjacent teeth has also occasionally been reported during dental repulsion. Systemic complications following equine cheek tooth extraction have been infrequently described, including a small number of cases of exodontia-related bacterial meningioencephalitis. This is surprising, as dental manipulation can lead to bacteraemia in many species, including horses. Infections at distant sites related to the spread of dental pathogens have been well described in humans and in small animals. This report describes deep abscessation of the masseter muscles followed by extensive thrombophlebitis of the jugular, facial and rostral cervical veins following oral cheek tooth extraction in a pony affected by pituitary pars intermedia dysfunction (PPID) that was successfully treated by abscess drainage and thrombectomy of the affected veins.     

The use of blood analyses to evaluate mineral status in livestock.

Animal responses are useful means of evaluating and assessing nutritional status. Blood mineral concentrations can be useful nutritional responses, although there are important limitations. The nutritional value in monitoring blood mineral concentrations varies with the specific mineral, being generally most valuable for those minerals in which homeostasis is regulated primarily by renal excretion, as opposed to regulation by variable absorptive efficiency. Examples of minerals for which blood concentrations are good measures of nutritional intake are selenium and magnesium. Blood mineral concentrations are affected by multiple variability factors. The strategy for use in mineral status assessment is to minimize non-nutritional variation by grouping animals for testing based on physiologic factors that affect, or are likely to affect, the concentration of the mineral or minerals being tested. Care should be taken to use the proper sampling protocol, so as not to cause artifactual variation. Removal of the serum from the clot within 2 hours of sample collection is an important step, among others. Sampling adequate numbers of animals and evaluating the herd mean and SD can minimize the effect of random variation on interpretation.     

Hair analysis as an indicator of mineral status of livestock

Despite several inherent characteristics that would appear to make hair a useful biopsy tissue, many problems make interpretation of data derived from hair analysis difficult. Endogenous minerals are incorporated into hair by several routes. Most attention on hair mineral incorporation has focused on element uptake within the hair follicle. Minerals incorporated within the follicle are presumably chemically or physically associated with cortical cells of the hair shaft and reflect mineral status at the time that the hair filament was synthesized. Because hair follicles in most species regularly go through cycles of intense metabolic activity and quiescence, mineral incorporation through the follicle is not a continual process. Mineral deposition onto hair does not cease when the follicle is not producing a hair fiber. The hair shaft is continuously exposed to several elements through contact with secretions from sebaceous, apocrine and eccrine glands. Significant quantities of major and trace elements of endogenous origin are adsorbed onto the hair surface via these secretions, especially when hair growth is not occurring or is very slow. For several elements significant correlations exist between mineral concentrations in hair and mineral intake. These correlations, however, are usually quite low. Non-dietary factors such as sex, age, hair color, sire, body location and contamination affect mineral levels in hair. Dietary intake of calcium, phosphorus and iron are also known to affect uptake of other elements in hair. Because many factors cause variation in mineral content in hair, hair analyses are not precise indicators of mineral status. Hair mineral analyses may be useful, however, when combined with other indicators of mineral status to provide a more precise assessment of mineral status in livestock.     

Cats and calcium oxalate: strategies for managing lower and upper tract stone disease

PRACTICAL RELEVANCE: Calcium oxalate (CaOx) containing stones are among the most common of the urinary tract stones identified in cats. RISK FACTORS: Risk factors for CaOx stone formation include such things as breed, gender and diet; stress and obesity have also been hypothesized to be risk factors for this disease. MANAGEMENT APPROACH: A tailored, individual management strategy for preventing CaOx stone recurrence is important and should include addressing the diet, environment and any other comorbid conditions present. Increasing the cat's moisture intake is one of the key mechanisms for preventing recurrence. CLINICAL CHALLENGES: CaOx ureterolithiasis has emerged as a difficult and sometimes life-threatening problem for cats. In those cats where stones are found incidentally, periodic monitoring may be required to assess for disease progression. Interventional procedures such as ureteral stent placements are now increasingly being performed for recurrent cases or those with larger stone burdens. Periodic radiographs for more severe cases and frequent client communication can help ensure successful outcomes for cats with lower and upper CaOx stone disease. EVIDENCE BASE: Limited evidence-based studies are published regarding management of feline upper and lower urinary tract CaOx stone disease, making this a difficult condition to manage in some cats. Studies designed to evaluate the relationship to dietary modifications, medical management, stress, obesity and surgical techniques are warranted in cats with upper and lower urinary tract CaOx stones.     

Colonic obstructions due to enteroliths in four horses.

Four cases of enterolith obstruction in horses aged from six to 14 years are reported. All four cases had symptoms of persistent low grade abdominal pain and anorexia with an absence of defaecation. Examination revealed reduced gut motility and accumulation of gas, but heart and respiratory rates, rectal temperatures and complete blood counts were all within normal limits. Enteroliths of varying sizes were removed from the region of the transverse colon in all four horses.     

Nutrition and aspects of feline lower urinary tract disease

Important causes of feline lower urinary tract disease (LUTD) that have been identified include urolithiasis and the formation of urethral plugs. In many cases, however, no specific cause of disease may be evident. Clinical studies in cats with apparently ‘idiopathic’ feline LUTD have suggested that some cases may respond to dietary modification, with diets designed to acidify urine, provide a good urine volume and relatively restricted magnesium intake. Nutritional research has predominantly focused on factors that may contribute to the formation of struvite uroliths, and has resulted in the development of specific recommendations for the management and subsequent prevention of recurrence of this condition. Urethral plugs have been less well studied, although recent clinical observations provide evidence that dietary modification may be of value in preventing their recurrence.     

Associations of marker panel scores with feed intake and efficiency traits in beef cattle using preselected single nucleotide polymorphisms

Because of the moderate heritability and the expense associated with collecting feed intake data, effective selection for residual feed intake would be enhanced if marker-assisted evaluation were used for accurate estimation of genetic merit. In this study, a suite of genetic markers predictive of residual feed intake, DMI, and ADG were preselected using single-marker regression analysis, and the top 100 SNP were analyzed further to provide prediction equations for the traits. The data used consisted of 728 spring-born beef steers, offspring of a cross between a composite dam line and Angus, Charolais, or University of Alberta hybrid bulls. Feed intake data were collected over a 5-yr period, with 2 groups (fall-winter and winter-spring) tested every year. Training and validation data sets were obtained by splitting the data into 2 distinct sets, by randomly splitting the data into training and testing sets based on sire family (split 1) in 5 replicates or by retaining all animals with no known pedigree relationships as the validation set (split 2). A total of 37,959 SNP were analyzed by single-marker regression, of which only the top 100 that corresponded to a P-value <0.002 were retained. The 100 SNP were then analyzed using random regression BLUP, and only SNP that were jointly significant (P < 0.05) were included in the final marker panels. The marker effects from the selected panels were used to derive the molecular breeding values, which were calculated as a weighted sum of the number of copies of the more frequent allele at each SNP locus, with the weights being the allele substitution effects. The correlation between molecular breeding value and phenotype represented the accuracy of prediction. For all traits evaluated, accuracy across breeds was low, ranging between 0.007 and 0.414. Accuracy was least in data split 2, where the validation individuals had no pedigree relationship with animals in the training data. Given the low predictive ability observed, a large number of individuals may be needed for prediction when using such an admixed population. Further, these results suggest that breed composition of the target population in which the marker panels are likely to be used should be an important consideration when developing prediction equations across breeds, especially where an admixed population is used as the training data set.     

Ethmoid tumors in moose and roe deer

Ethmoid tumors are expansively-infiltratively growing tumors of carcinomatous or sarcomatous nature, deriving from the mucous membrane of the ethmoid bone. In Sweden, such tumors were found in 35 elks (Alces a. alces) and 4 roe deer (Capreolus capreolus) during the years 1947-1982, that means a frequency of about 1 and 0.1 per cent, respectively of the investigation material. However, in the free living elk and roe deer population, the frequency might be much lower. The tumors were malign, extensively melting the soft and hard tissues of the ethmoid region, breaking into the brain cavity, the forehead subcutaneous tissues, etc. Symptoms as suppurative or bloody discharge at the nose, external outline aberrations and disorders to be related to injuries of the central nervous system were observed. In the elk, ethmoid tumors were found only in female animals. In the beginning of this century, ethmoid tumors were found in a number of cattle and horses in Sweden and Norway. Multiple cases occurred in some herds indicating that the tumors were caused by an infectious agent. Since the year 1916, there seem to be no reports on the finding of ethmoid tumors in domestic animals in the Nordic countries. In 1960, however, such tumors were discovered in Indian cattle in Kerala in the south of India. Tumor tissue from the cattle was examined and a herpes-virus was found. Geographically, the distribution of the tumor cases in cattle and elk was very similar in Sweden indicating a possible mutual transmission. As the tumors obviously have disappeared from cattle but not from the elk, it seems likely that the elk might be the primary carrier of the ethmoid tumor. Ethmoid tumors have been observed for many years in Scandinavia but only rather recently they were discovered in India. It has been known for long that birds after contamination might be involved in the spread of virus diseases, provided the virus are reasonably resistant. In the actual case, the suspicion has mainly been directed at three bird species, viz. the blue throat (Luscinia svecica), the scarlet grosbeak (Erythrina erythrina) and the red-necked phalarope (Phalaropus lobatus). In spring and summer, these birds periodically reside in elk habitat where they might be contaminated. In the autumn, they may extend their migration to the southern parts of India.     

Ultrastructure and chemical composition of calcite urinary calculi in Chinese swamp buffalo

Four urinary calculi, derived from Chinese swamp buffalo, were studied by using qualitative chemical analysis, X-ray diffraction, scanning electron microscopy and qualitative energy dispersive (electron probe) microanalysis. Qualitative chemical analysis showed that the predominant ions were calcium and carbonate with small amounts of magnesium and ammonium. X-ray diffraction confirmed that the calculi were primarily composed of calcium carbonate (calcite). On ultrastructural examination, three apparently distinct structural regions were identified in the calculi: outer large laminations; cavities containing variable numbers of small spheres and rods; and large spheres. There did not appear to be material that acted as a nidus and all regions, on qualitative electron probe analysis, contained primarily calcium with trace amounts of magnesium, phosphorus, potassium and chloride. It was concluded that calcite calculi in Chinese swamp buffalo are probably formed through a process of asynchronous layering and that nidus formation may not be necessary. Moreover, the ultrastructure of the calcite calculi is similar to that reported for siliceous calculi in ruminants and this suggests that similar factors may be involved in their formation.     

Toward a new theory of feed intake regulation in ruminants 1. Causes of differences in voluntary feed intake: critique of current views

This first paper of a series of three critically examines current ideas about the causes of differences in voluntary feed intake, and particularly roughage intake, in ruminants. Explanations for such differences have usually been based upon the explicit or implicit assumption that an animal seeks to obtain a genetically determined maximum growth and production rate and a therefore required maximum nutrient intake. The frequent failure of animals to achieve a maximum nutrient intake would be the consequence of constraints imposed on the intake process. A physical constraint, i.e. rumen fill, is primarily held responsible for the large differences in roughage intake.Experimental data that ought to support this conceptual framework are evaluated. It is concluded that the framework offers an incomplete and unsatisfactory explanation for the observed variation in intake. From correlative studies of feed and animal differences in intake no exclusive role for rumen fill is evident. Such studies also suggest an important role for metabolic factors like changes of basal metabolism and the efficiency of utilization of metabolizable energy. In addition, relations between intake, rumen fill and digesta passage rates as such do not prove the existence of a physical restriction of intake. Furthermore, intake responses to ruminal infusion of the normal end products of digestion, i.e. volatile fatty acids, also cast doubt on a prime role of rumen fill in intake regulation. Detailed studies of feed degradation in the rumen show that ruminants can greatly increase roughage intake by speeding up passage of digesta. Why ruminants exploit this extra capacity for intake only in certain situations (during lactation or cold stress) and to a certain extent is not well explained by the accepted conceptual framework. Finally, doubt is expressed as to the validity of the basic assumption that feeding behaviour aims at achieving a maximum nutrient intake.