In vagal indigestion type 2, which procedure is indicated to address a foreign body?

• A. Rumenotomy
• B. Rumen fistula
• C. Aggressive IV fluid therapy
• D. Prokinetics

Answer: (A)

Rumenotomy is the procedure of choice when vagal indigestion type II involves a foreign body because it provides direct access to the rumen to remove the obstructing material and relieve the outflow problem. This surgical removal allows complete extraction, rumen lavage, and evaluation of the rumen lining, which a non-surgical approach cannot achieve. Aggressive IV fluids are only supportive and do not address the blockage. Prokinetics try to stimulate movement but cannot remove a physical obstacle and may be ineffective. A rumen fistula offers access but is a long-term opening and does not guarantee definitive removal like a controlled rumenotomy does.