A study of 54 cases of left displacement of the abomasum: February to July 2005

Left and right displaced abomasum and abomasal volvulus: comparison of clinical, laboratory and ultrasonographic findings in 1982 dairy cows

BACKGROUND

Although left and right displacement of the abomasum and abomasal volvulus are well-known disorders of cattle, a comparative evaluation of the clinical, laboratory and ultrasonographic findings of these types of abomasal displacements has not been undertaken. Therefore, the objective of this study was to compare these conditions in a large population of cows. The medical records of 1982 dairy cows with left displaced abomasum (LDA, n = 1341), right displaced absomasum (RDA, n = 338) and abomasal volvulus (AV, n = 303) were searched for the results of clinical, laboratory and ultrasonographic evaluations.

RESULTS

The main clinical findings were an abnormal demeanour in 48.2% of the cows, reduced rumen motility in 89.7% and decreased intestinal motility in 61.1%. Ballottement and simultaneous auscultation and percussion and simultaneous auscultation were positive on the left side in 96.9% of the cows with LDA and on the right in 98.5% of the cows with RDA and in 99.3% of the cows with AV. Ultrasonography was useful for diagnosing LDA in 97.9% of the cows and RDA/AV in 90.2% of the cows. The laboratory findings characteristic of abomasal reflux syndrome varied in severity; 83% of the cows had hypokalaemia, 67% had increased rumen chloride concentration, 67% had an increased base excess and 50% had haemoconcentration. Based on the clinical signs, a definitive diagnosis was made in 75.0% of the cows with LDA and in 22.5% of the cows with RDA/AV. Ultrasonography was required for a definitive diagnosis in another 22.0% of the cows with LDA and in 53.0% of the cows with RDA/AV. Laparotomy or postmortem examination was required for reliable differentiation of RDA and AV.

CONCLUSIONS

LDA, RDA and AV differ with respect to the severity and the frequency of several abnormal clinical, laboratory and ultrasonographic findings as well as the methods required for a diagnosis.

Milk Yield, Hematological and Electrolyte Parameters in Primiparous Dairy Cows After Laparotomic Omentopexy and One-Step Laparoscopic Abomasopexy Treatments of Left Displaced Abomasum

This study aimed to evaluate the effects of two different treatment options for the correction of left displaced abomasum (LDA) on milk yield, hematological, electrolyte parameters, lactate and cortisol concentrations in primiparous cows. Twenty four Holstein cows were randomly assigned into three groups: cows treated with one-step laparoscopic abomasopexy (LPS, n=8), cows treated by left paralumbar omentopexy (LPT, n=8) and healthy cows (CON, n=8), matched by parity and days in milk. Blood samples were collected before (D0) and after (D0’) surgery, and 1 (D1), 3 (D3), 10 (D3) and 30 (D30) days following surgery. LPS and LPT cows at D0 as well as LPT cows at 30 d following surgery had lower milk yield than CON cows (P<0.05), while the service period was higher in LPT than in CON (P<0.05). WBC was lower at D0 as well as Hb and Ht at D0 and D0’ in CON group than those of LPS and LPT (P<0.05). Hyponatremia, hypochloremia and hypokalemia at D0 and D0’ were observed in LPS and LPT. In addition, LPT cows had lower Na and Cl at D1 and D3 and lower K at D1 than CON (P<0.05). Impaired hydration in LPS and LPT cows was accompanied by higher concentrations of lactate at D0, D0’, D1 and D3 (P<0.01) and cortisol at D0 and D0’ (P<0.01) compared with CON group, while LPT had higher cortisol at D0’ than LPS (P<0.05). These results indicated that LPS has the potential to improve the convalescence period of LDA in primiparous cows.

Common diseases of cattle in Jordan: A retrospective study (2015-2021)

Background and Aim

In many developing countries, infectious and non-infectious diseases remain a major hurdle in achieving satisfactory status related to animal health, productivity, and welfare. In Jordan, there are no comprehensive reports describing the most common diseases involving different body systems in different age groups of cattle. Therefore, this retrospective study was designed to report the frequencies of various infectious and non-infectious diseases and their distribution according to sex, age, and body system in cattle in Jordan.

Materials and Methods

Case medical records of cattle presented for clinical evaluation to the Veterinary Health Center of the Faculty of Veterinary Medicine at Jordan University of Science and Technology between January 2015 and December 2021 were used in this study. The data were categorized based on sex (female vs. male), body system involved in the disease process, nature of the disease process (infectious vs. non-infectious), and age (pre-weaning [<2 months of age], 2 months-2 years of age, and older than 2 years of age). Descriptive analysis was performed to report the frequencies, averages, and range values using Excel spreadsheets.

Results

Medical records of 513 cattle cases were used in the study. All cattle belonged to the Holstein-Friesian dairy breed. The majority of cases were female (91%). The age of animals ranged between 1 day and 8 years. According to age groups, there were 52%, 27%, and 16% of cases older than 2 years, 2 months-2 years, and pre-weaning (<2 months), respectively. Among males and females, the majority of cases were diagnosed with gastrointestinal diseases (30%), followed by udder/teat diseases (18%), reproductive and obstetrical diseases (16%), and respiratory diseases (11%). Other body systems involved in disease processes were metabolic (7%), musculoskeletal (6%), cardiovascular/circulatory (4%), multiple systems (3%), nervous (2%), ear/eye (2%), and skin (1%).

Conclusion

Results of this study provide valuable information on the most likely diagnostic list of diseases involving various body systems of different age groups in cattle in Jordan. This information could serve as a clinical guideline for field diagnosis of cattle diseases and provide an accurate estimate of the current status of cattle welfare, health, and husbandry practices in Jordan.

Retrospective Evaluation of Method of Treatment, Laboratory Findings, and Concurrent Diseases in Dairy Cattle Diagnosed with Left Displacement of the Abomasum during Time of Hospitalization

Left displacement of the abomasum (LDA) is a disease often diagnosed in high-producing dairy cattle, resulting in direct and in indirect costs for the farmer, and discomfort and death for the cows. For the present retrospective study, the aims were to assess the effect of treatment on recovery during the time of hospitalization of the cows, to investigate the influence of concurrent diseases on the recovery, and to identify prognostic indicators in laboratory findings. Metritis/endometritis (38.4% of cows) was the concurrent disease diagnosed most often. Conservative treatment (abomasal rolling) was performed successfully in 92.8% of cows; the recurrence rate was 56.7%. Neither treatment with an oral drench nor treatment with analgesics had any influence on the recurrence of LDA following abomasal rolling during hospitalization. Endoscopic abomasopexy as described by Janowitz was performed more often than right flank laparotomy (40.8% and 40.2%, respectively). A significantly (p < 0.01) higher number of cows had the outcome “recovery” compared with “death”. The results of this study show that the outcome after surgery for LDA under clinical conditions does not depend on the method of surgery. Moreover, cows with LDA often suffer from concurrent diseases. If conservative treatment is decided on, farmers should be informed that there is a high recurrence rate, and other treatment options should be discussed.

Retrospective Evaluation of Claw Lesions, Inflammatory Markers, and Outcome after Abomasal Rolling in Cattle with Left Displacement of the Abomasum

Lameness is often diagnosed in cattle with left displacement of the abomasum (LDA). Laterality of lying has an effect on the etiology of LDA, and lame cows prefer to lie on the affected limb. The objective of this study was to investigate the possible association between laterality of claw lesion and presence of LDA. The medical records of 252 cattle presented with a diagnosis of LDA and subjected to a diagnostic examination of claw lesions over a period of 11 years (2009-2019), were analyzed retrospectively. Data were evaluated for presence and localization of claw lesion, concentrations of inflammatory markers, and abomasal rolling as therapy. At least one claw lesion was diagnosed in 46.4% of cattle. There was no association between laterality of claw lesion and LDA. Presence of claw lesion or oral drench and/or analgesic treatment did not have an effect on occurrence of relapse. A high number of cattle was diagnosed with both LDA and claw lesions. Focus should lie on preventing painful claw lesions in the dry and the early post-partum period. The high recurrence rate after abomasal rolling suggests that abomasal rolling should only be considered as a therapy for temporary relief, and surgical procedures should be discussed with farmers.

Plasma metabolome alteration in dairy cows with left displaced abomasum before and after surgical correction

Left displaced abomasum (LDA) leads to substantial changes in the metabolism of dairy cows. Surgical correction of LDA can rapidly improve the health of cows; however, changes in metabolism following surgery are rarely described. To investigate the changes of plasma metabolome in cows with LDA before and after surgical correction, blood samples were collected from 10 healthy postpartum cows and 10 cows with LDA on the day of diagnosis, then again from the LDA cows 14 d after surgery. Serum nonesterified fatty acid, β-hydroxybutyric acid, cortisol and histamine concentration, and antioxidant enzyme (superoxide dismutase and glutathione peroxidase) activities were evaluated, and the metabolic profile in plasma was analyzed using ultra-high-performance liquid chromatography time-of-flight mass spectrometry. The results demonstrated that cows with LDA experienced severe negative energy balance and oxidative stress, which can be improved by surgical correction. The metabolic profile was analyzed using multidimensional and univariate statistical analyses, and different metabolites were identified. In total, 102 metabolites differed between cows with LDA and healthy cows. After surgical correction, 65 metabolites changed in cows with LDA, compared with these cows during the LDA event. Following surgical correction, AA levels tended to increase, and lipid levels tended to decrease in cows with LDA. Pathway analysis indicated marked changes in linoleic acid metabolism, Arg biosynthesis, and Gly, Ser, and Thr metabolism in cows at the onset of LDA and following surgical correction. Surgical treatment reversed the changes in AA and lipid metabolism in cows with LDA.

Assessing the Feasibility of Retrospective and Prospective Clinical Audit in Farm Animal Veterinary Practice

As a quality improvement tool, clinical audit has been extensively described in the medical literature. There is scant literature on the use of clinical audit in the farm animal veterinary setting. This study describes the process and feasibility of prospective and retrospective data collection for farm animal clinical audit performed at three different farm animal practices in the United Kingdom. Retrospective clinical audit was difficult in all three practices due to barriers in establishing diagnosis and patient identity from clinical records. Prospective data collection proved feasible but depended on adequate case accrual and practitioner engagement. The decision to conduct clinical audit retrospectively or prospectively will depend on the topic to audit, the availability of data and the wishes of the team members involved. Further work is required looking at the use of clinical coding and alternatives to using practice management software to improve retrospective data availability for clinical audit.

Evaluation of Oxidative Stress in Dairy Cows with Left Displacement of Abomasum

Simple Summary

The present study evaluated oxidative and antioxidant status in dairy cows with Left Displacement of the Abomasum (LDA), an economically important postpartum disease in cattle. The oxidant capacity of plasma measured with a test fo reactive oxygen metabolites, the d-ROMs test, was significantly higher and the plasma biological antioxidant potential (BAP), measured with the BAP test was lower in the LDA group compared with the control group. Oxidative status was assessed using an arbitrary index obtained from the ratio between d-ROMs and BAP and the results showed that cows with LDA experience an imbalance between oxidants and antioxidants.

Abstract

Left Displacement of the Abomasum (LDA) is a condition that occurs in high-producing postpartum dairy cows and it causes economic losses. Studies performed in the last decade indicate that adult dairy cows experience oxidative stress. Increasing interest in the role of oxidative status in ruminant medicine has emphasized the need to develop reliable methods to assess it. A few studies have evaluated the relationship between LDA and oxidative status, mostly through the determination of single parameters of oxidation and the determination of antioxidant status separately, with contrasting results. The aim of this study was to assess the oxidative status by the measurement of Reactive Oxygen Metabolites with d-ROMs and Biological Antioxidant Potential BAP and the calculation of the Oxidative Status index in 74 multiparous dairy cows with LDA. Each case was matched with a control herdmate. The amount of free oxygen radicals in plasma samples was determined using the d-ROMs test, the concentration of antioxidants was measured using the BAP test and the Oxidative Status index was also calculated. The concentration of d-ROMs was significantly higher in the study group compared to the control group (179 ± 37.7 U CARR and 158 ± 23.0 U CARR, respectively), while the concentration of BAP was significantly lower in the study group than in the control group (2156 ± 98.1 µmol/L vs. 2558 ± 108.5 µmol/L). The Oxidative Status index value was significantly higher in cows with LDA than in healthy cows (8.3 ± 1.51 vs. 6.2 ± 0.76). The results of this study indicated that an inbalance between oxidants and antioxidants occurred in cattle with LDA.

An investigation into the development of right displaced abomasum by rolling 268 dairy cows with left displaced abomasum

Right displaced abomasum (RDA) and abomasal volvulus (AV) are common diseases in cattle. However, presently there is no consensus regarding the pathogenesis and nomenclature of the different positions that the abomasum can adopt in the right side of the cow. Therefore, the objective of this study was to describe the etiopathogenesis of the right displaced abomasum according to the description of the features observed in 268 cows with left displaced abomasum (LDA), which were rolled to induce the movement of the abomasum from the left side to the right (in fact, inducing an RDA in 44% of cases), to facilitate the surgical approach, and immediately surgically treated (abomasal omentopexy from the right side). The observed RDA positions matched previously published descriptions and names, and the authors propose a holistic and simpler nomenclature and a clear hypothesis on RDA etiopathogenesis. In 54.1% of the cases, the abomasum moved to a normal position after rolling. The most common RDA position observed was caudal displacement of the RDA (CdRDA; 70 out of 119 RDA cases; 26.1% of the total number of cows), followed by lateral displacement (LRDA; 32 of 119; 11.9% of all cases), cranial displacement (CrRDA; 8 of 119; 3% of the total), medial displacement (MRDA; 4 of 119; 1.5% of the total), and finally, displacement lateral to the omasum (LORDA; 3 of 119; 1.1% of the total). Adverse events directly due to the rolling procedure were mesenteric root volvulus (3 of 268), cecocolic volvulus (2 of 268) and torsion (1 of 268), and uterus torsion (2 of 10 pregnant cows); 1 abortion (1 of 10 pregnant cows) was also observed. We suggest that CdRDA is the first stage of an RDA that can become an LRDA with increasing pressure. An LRDA can become an AV if rotating counterclockwise, viewed from above. An LDA, CdRDA, or LRDA could be initial forms of LORDA and CrRDA, and occur when forestomachs are empty or when the animal stands up on its front legs first. The LORDA and CrRDA forms can lead to an omasum-abomasum volvulus (OAV) or to a reticulum-omasum-abomasum volvulus (ROAV) when pressure increases. With this study we establish, for the first time, the sequence and incidence of each RDA form and its complications, increasing knowledge of this syndrome and its pathogenesis. This understanding critically aids the surgeon's ability to accurately assess and correct this disease and to predict prognosis.

Genome-wide association study identifies QTLs for displacement of abomasum in Chinese Holstein cattle1

Displacement of abomasum (DA) is one of the most common and important disorders in dairy cattle. The objective of the present study was to detect the quantitative trait loci (QTL) for DA in Chinese Holstein using single-step genomic BLUP methodology. A total of 60,556 producer-recorded DA event records from 32,190 cows, together with 2,336 genotyped animals with 40,054 SNP markers, were used for the analysis. Genomic data were incorporated into a threshold model for variance component estimation, and the estimated heritability of DA was 0.108 (SE = 0.086). Results of genome-wide association studies were reported as the proportion of genetic variance explained 20-SNP windows. Eight QTLs covering 129 genes on Bos taurus autosomes 2, 4, 7, 10, 14, 17, 20 showed associations with DA. Ten genes, namely BMP4, SOCS4, GCH1, DDHD1, ATG14, ACBP/DBI, SMO, AHCYL2, CYP7A1, and CACNA1A, involved in insulin metabolism and lipid metabolism pathways may be considered as candidate genes of DA in dairy. The identified QTLs, biological pathways, and associated genes underlying DA identified from the present study will contribute to the understanding of the genetic architecture of this complex disease.

Association between left-displaced abomasum corrected with 2-step laparoscopic abomasopexy and milk production in a commercial dairy farm in Italy

Background

Left displacement of the abomasum (LDA) is a condition of dairy cows that causes huge economic losses. The aim of the study was to evaluate the effect of LDA after on-farm correction by the 2-step laparoscopic abomasopexy on milk production based on 305-d milk yield on a commercial dairy farm in Italy.The study was performed between January 2011 and January 2014 on 58 Holstein Friesian cattle with left displacement of the abomasum in a commercial dairy farm in the farmland of Ozieri, Sardinia (Italy). Each cow underwent a 2-step laparoscopic abomasopexy performed by the same veterinarian. Each case was matched with a control herdmate by age, parity and calving date. Cows with LDA and healthy control cows also had a similar 305-d milk yield in the previous lactation. Data on milk production were collected using a dairy herd management software programme (Afimilk®, Afimilk Ltd., Israel). The 305-d lactation yield was obtained from the sum of daily milk yields for each cow. An unpaired Student’s t-test was used to compare changes in milk production, mean fat and protein percentage of cases and controls before and after surgical procedure.

Results

Data from 4 cows were excluded from the analysis due to post-surgical complications. 54 cases and 54 control cows participated in the study. We found that milk production significantly decreased from a baseline of 12,295 ± 1690 kg to 11,165 ± 1989 kg in the affected lactation. Conversely, a significant increase was observed for mean fat and protein percentage during lactation in case cows.

Conclusions

In the present study cows with left displacement of the abomasum corrected with 2-step laparoscopic abomasopexy produced less milk than their control herdmates. Each case and control pair in the present study came from the same farm in order to eliminate farm to farm differences in management, housing, season, etc. However, this limits the validity of our data to the specific situation described here.

Comparison of Fecal Microbiota between German Holstein Dairy Cows with and without Left-Sided Displacement of the Abomasum

One of the most common diseases in high-performance German Holstein dairy cows is left-sided displacement of the abomasum (LDA). Hypomotility of the abomasum is detrimental during the pathogenesis of LDA. It is known that improper interactions between the gut microbiota and the enteric nervous system contribute to dysfunctions of gastrointestinal motility. Therefore, we hypothesized that the gut microbial composition will be different between German Holstein dairy cows with and without LDA. We used 16S rRNA gene analysis to evaluate whether there are any differences in bacterial composition between German Holstein dairy cows with and without LDA. Even though our data are limited to being used to correlate compositional changes with corresponding functional aspects in the pathogenesis of LDA, results from this study show that the fecal microbial compositions of German Holstein dairy cows with LDA shifted and were less diverse than those in normal cows. In particular,Spirochaeteswere absent in cows with LDA.