18 Abomasal Displacement in Cattle

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Questions and Answers

Which factor is least likely to contribute directly to abomasal displacement in cattle?

  • Consistent feeding practices and balanced total mixed rations (TMR) with adequate fiber length. (correct)
  • Metabolic stress due to diseases such as metritis or mastitis in the early post-partum period.
  • Genetic predisposition, especially in dairy breeds like Holsteins.
  • High-starch, low-roughage diets leading to increased gas production.

What is the primary rationale for recommending an oral drench of KCl after correcting abomasal displacement in cattle?

  • To prevent metabolic acidosis by increasing the excretion of bicarbonate.
  • To counteract hypophosphatemia and hypocalcemia commonly associated with displaced abomasum.
  • To address hypokalemia resulting from sequestration in the abomasum, reduced feed intake, and metabolic alkalosis. (correct)
  • To enhance abomasal motility and prevent recurrence of displacement.

Which of the following best describes the significance of measuring beta-hydroxybutyrate (BHB) in cows undergoing surgery for left displaced abomasum (LDA)?

  • High BHB levels are indicative of successful surgical outcomes and reduced risk of post-operative complications.
  • Low BHB levels are associated with increased likelihood of survival and remaining in the herd 30 days post-surgery.
  • Lower BHB levels may indicate a poorer prognosis; cows with lower BHB are less likely to remain in the herd 30 days after surgery. (correct)
  • BHB levels do not correlate with surgical outcomes for LDA and are primarily indicative of concurrent liver disease.

In the context of abomasal displacement, what is the most likely implication of a total mixed ration (TMR) with a carbohydrate:roughage mismatch?

<p>Increased risk of abomasal displacement due to altered rumen fermentation and potential for increased gas production. (D)</p> Signup and view all the answers

Why is erythromycin considered a potent motility enhancer for the abomasum in cattle, while other prokinetics show limited efficacy?

<p>Erythromycin has a unique mechanism of action that specifically increases smooth muscle contractility in the abomasum. (C)</p> Signup and view all the answers

Which of the following factors would most likely contraindicate a ventral approach for surgical correction of abomasal displacement?

<p>Severe hypovolemia. (B)</p> Signup and view all the answers

What is the primary reason for avoiding the pylorus itself when performing an abomasopexy during a right flank approach to correct an LDA?

<p>To avoid abomasal emptying problems by preventing obstruction of the pyloric outflow. (A)</p> Signup and view all the answers

How does increased grazing time and higher roughage intake in cattle diets reduce the risk of abomasal displacement?

<p>By promoting greater rumen fill, which physically prevents abomasal displacement. (C)</p> Signup and view all the answers

In cases of abomasal volvulus, what is the most critical consequence of direct vascular damage to the abomasal wall?

<p>Compromised smooth muscle function and vagal innervation, leading to ischemic bowel syndromes and hypomotility. (B)</p> Signup and view all the answers

Which diagnostic finding would lead a clinician to suspect Duodenal Sigmoid Flexure Volvulus (DSFV) post-operatively following a right flank omentopexy for abomasal displacement?

<p>Right-sided ping and lethargy, along with a metabolic profile suggestive of abomasal volvulus. (A)</p> Signup and view all the answers

What is a key difference between the left flank and right flank approaches for surgical correction of LDA, concerning abdominal exploration?

<p>The right flank approach allows for a more thorough abdominal exploration than the left flank approach. (D)</p> Signup and view all the answers

Besides Clostridium perfringens Type A what other factors contribute to the development of abomasitis in calves?

<p>Large bolus meals of milk replacer or nursing from cows with high milk production. (A)</p> Signup and view all the answers

What is the underlying cause of abomasal impaction related to 'lousy cattle'?

<p>Excessive licking and subsequent hair ingestion (trichotillomania) leading to hairball formation and pyloric outflow obstruction. (D)</p> Signup and view all the answers

Which of the following best explains why Channel Island breeds may be more susceptible to abomasal displacement?

<p>Predisposition to Gl hypomotility coupled with increased sensitivity to hypocalcemia. (C)</p> Signup and view all the answers

What is the primary rationale for early surgical intervention in cases of abomasal displacement?

<p>To prevent the development of secondary metabolic derangements and improve the prognosis. (A)</p> Signup and view all the answers

In diagnosing a left sided ping in beef cattle, what differential diagnosis should be considered?

<p>Hardware lesion (Peritoneal gas). (C)</p> Signup and view all the answers

What is the significance of fiber quality in the context of preventing abomasal displacement, and how does it relate to rumen fill?

<p>Poor quality fiber results in less rumen fill, predisposing the animal to abomasal displacement. (B)</p> Signup and view all the answers

How do observational pre-existing risks, such as respiratory diseases like necrotic laryngitis, potentially predispose cattle to abomasal displacement?

<p>Via neurological components leading to increased aerophagia or altered Gl motility. (B)</p> Signup and view all the answers

Which factor most accurately describes the significance of electrolyte derangements in the context of abomasal displacement and its correction?

<p>Electrolyte derangements exacerbate each other and other metabolic diseases requiring multifaceted approaches. (A)</p> Signup and view all the answers

What is the primary advantage of using a toggle instrument or large needle in the ventral approach for abomasopexy?

<p>It enables blind suturing, which is more widely instituted and considered more secure than the blind suture technique with a large needle (D)</p> Signup and view all the answers

Flashcards

Abomasal Displacement

Physical displacement of the abomasum, can be a metabolic disease triggered by other metabolic issues post-partum or during lactation.

High carbohydrate, low roughage diets

Increased risk of displaced abomasum occurs with this type of diet. Can result in decreased rumen fill and increased abomasal fermentation.

Electrolyte Derangements

Electrolyte imbalances, particularly of calcium, phosphorus, magnesium, and potassium, increase the risk of displaced abomasum.

Metabolic Profile of DA

Hypochloremia, hypokalemia, and metabolic alkalosis, especially if right abomasal volvulus (RAV) is present.

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Surgical Approaches to DA Repair

Left flank, right flank, and ventral.

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Abomasitis in Calves

Acute abdominal distention, possible diarrhea/shock, and sometimes acute death. Abomasal tympany with marked edema/hemorrhage.

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Risk Factors for Abomasitis in Calves

Bolus feeding milk, either by tube or large volumes quickly from a cow. GI or respiratory disease increases risk.

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Abomasal Impaction

A papple appearance of the abdomen. Poor feed, limited water, foreign bodies, hairballs causing pyloric outflow obstruction.

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Breed Predisposition to DA

Dairy breeds, especially Holsteins, are most commonly affected by displacement.

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BHB as a DA Predictor

Measurement of β-hydroxybutyrate (BHB). Lower BHB pre-surgery may indicate poorer outcomes.

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Study Notes

  • Abomasal displacement is when the abomasum loses tone and accumulates gas.
  • Although the organ-level understanding remains unclear, risk factors and prevention methods have been discovered.
  • Abomasal displacement can be considered a metabolic disease, often triggered by metabolic diseases in the early post-partum period or during lactation.
  • The metabolic after-effects of abomasal displacement can be life-threatening and financially stressful for the producer.
  • Prevention, prompt evaluation, metabolic problem restoration, and surgical repositioning are critical for case management.
  • Surgical restoration methods depend on veterinary experience, facilities, cow's pregnancy status, and physical status.

Risk Factors for Abomasal Displacement

  • Dairy breeds, especially Holsteins, are more prone to abomasal displacement.
  • Channel Island breeds are susceptible due to GI hypomotility combined with sensitivity to hypocalcemia.
  • Beef cattle are less frequently affected, but low roughage/high starch diets in Japanese Black cattle can increase the risk.
  • Management and feeding regimes that increase gas production and hypomotility can lead to abomasal displacement.
  • Calves up to two months old can experience displaced abomasum.
  • Milk/starter grain diets with little roughage predispose calves.
  • Pre-existing respiratory diseases like necrotic laryngitis may present a neurologic component and increase aerophagia.
  • Cecal dilatation and volvulus are common diagnoses in beef cattle.
  • In beef cattle with left-sided pings, hardware lesions causing peritoneal gas are more likely than LDA.
  • Genetics can influence the likelihood of developing abomasal displacement.
  • Research indicates associations between body condition scores, milk fat:protein ratios, and clinical ketosis risks with abomasal displacement.
  • Increased risk is associated with increased carbohydrate and decreased roughage diets.
  • Cattle with significant grazing time and increased roughage have fewer issues.
  • Mismatch in total mixed ration (TMR) carbohydrate:roughage can increase DA incidence.
  • Fiber length recommendations of 1.5-2.5 cm can help reduce the occurrence.
  • Poor quality or low NDF fiber may result in less rumen fill, poor feed intake, and increased abomasal fermentation, raising displacement risk.
  • Inconsistent feeding and imbalances can predispose to displacement.

Biochemical Measurements

  • Electrolyte imbalances (calcium, phosphorus, magnesium, potassium) and related metabolic diseases increase abomasal displacement risk.
  • Negative energy balance (Ketosis) is relevant, with βetahydroxybutyrate (BHB) measurement as an outcome predictor.
  • Cows with low BHB undergoing LDA surgery are less likely to remain in the herd for 30 days.
  • BHB <1.2mmol/L is a negative predictor of survival within 1-2 months after LDA

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