Almost lost my horse to a twisted gut last march, but we gave her some relaxant and waited it out and at about 12:00 am she pooped, one those happiest moments.
You can't wait out a twisted gut because if you don't operate your horse will die within hours of internal bleedings. The chance the gut twists back into it's normal position is very very small, even with a relaxant. An obstruction or gas colic can also be extremely painful for a horse but can be solved with a relaxant or lliquid parafin in most cases. I'm telling you this because if your horse really had a twisted gut and the vet knew that, he/she should have acted differently in my opinion.
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