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Constipation, Obstipation, and Megacolon   1407



            Constipation, Obstipation, and Megacolon
  VetBooks.ir                                                    Resolution

                                                                                       Dioctyl sodium
                     Mild constipation       Dietary fiber                        sulfosuccinate, polyethylene
                                                                 Recurrence        glycol (e.g., MiraLax), or
                                                                                  petrolatum and/or cisapride


                                        Enemas, nasoesophageal
                       Moderate or         trickle GoLYTELY      Dietary fiber,    Resolution     Ranitidine,
                        recurrent         solution (6-10 mL/kg/h),  lactulose,                     lactulose,
                       constipation;        and/or manual         cisapride                        bisacodyl
                    rehydration SQ or IV   extraction of feces                     Recurrence



                                                                  6 months        Pelvic osteotomy or colectomy
                                             Hypertrophy
                      Obstipation or                              6 months        Colectomy
                       megacolon;
                    rehydration SQ or IV
                                               Dilation          Colectomy
                 Modified from Slatter DH: Textbook of small animal surgery, ed 3, St. Louis, 2003, Saunders.































                                                                                                                      Clinical   Algorithms





















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