A review on stimulation of abomasal motility and emptying after surgical correction of left displaced abomasum or abomasal volvulus

作者：Wittek Thomas^*

来源：Praktische Tierarzt, 2010, 91(10): 892-898.

• abomasal displacement
• abomasal hypomotility
• postoperative paralytic ileus
• prokinetics
• erythromycin

The present review article summarizes the current knowledge on abomasal hypomotility (postoperative paralytic ileus) after surgical correction of left displaced abomasum or abomasal volvulus. General pathophysiological pathways for postoperative abomasal hypomotility are discussed. The duration of the postoperative abomasal hypomotility is currently not known. However, clinical signs of abomasal hypomotility and dilatation occur most commonly after surgical correction of abomasal volvulus. In contrast, abomasal hypomotility after LDA surgery normally remains subclinical. It seems that erythromycin offers the highest potential to improve postoperative abomasal motility and emptying. A preoperative administration of erythromycin, glucocorticosteroids (dexamethasone) and antioxidative drugs (vitamin C and E) to increase abomasal emptying rate and avoid ischemia reperfusion injuries are recommended in cows after abomasal volvulus as part of routine treatment. Since the clinical signs of abomasal hypomotility become obvious between the second and fifth day after surgery the treatment with erythromycin and nonsteroidal anti-inflammatory drugs should be continued at least up to day five after surgery.

• 出版日期2010-10-1