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Mammals (other)
Nutritional management in a horse after caecocolic intussusception with a large partial typhlectomy
  1. Wendy An Wambacq1,
  2. Ellen Paulussen2,
  3. Laurence Lefère2,
  4. Thomas van Bergen3 and
  5. Myriam Hesta1
  1. 1Laboratory of Animal Nutrition, Faculty of veterinary medicine, Ghent University, Merelbeke, Belgium
  2. 2Department of Internal Medicine and Clinical Biology of Large Animals, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium
  3. 3Department of Surgery and Anaesthesia, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium
  1. Correspondence to Professor Myriam Hesta, Myriam.Hesta{at}


A 17-year-old Haflinger gelding was referred to the Faculty of Veterinary Medicine for evaluation and treatment of acute colic. Clinical examination resulted in a presumptive diagnosis of caecocolic intussusception, which was confirmed by exploratory laparotomy. Due to severe compromise of the caecal apex wall, a partial typhlectomy was performed. Information about optimal nutritional management of typhlectomised horses is unfortunately rather limited. While immediate postsurgical support focuses on maintaining current bodyweight, the long-term goal is to obtain and maintain an optimal body condition score. In this case, postoperative nutritional support focused initially on a low-bulk diet that would be primarily digested in the small intestine, while providing sufficient fibre to provide colonocytes with an energy source. One month after surgery, a slow transition towards a more traditional diet containing long-stem roughage was made. This is the first case report describing a detailed successful nutritional approach up until six months postoperatively.

  • Nutrition
  • Horses
  • caecocolic intussusception
  • typhlectomy
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