Analyze Diet

Topic:Gastrointestinal Health

Gastrointestinal health in horses encompasses the study of the structure, function, and disorders of the equine digestive system. The equine gastrointestinal tract is complex, consisting of the stomach, small intestine, cecum, and large intestine, each playing a specific role in digestion and nutrient absorption. Research in this area often focuses on common disorders such as colic, gastric ulcers, and parasitic infections, which can impact a horse's overall health and performance. Investigations examine factors affecting gastrointestinal health, including diet, management practices, and the microbiome. This page compiles peer-reviewed research studies and scholarly articles that explore the physiology, pathology, and management of gastrointestinal health in horses.
Plasma concentrations of endothelin-like immunoreactivity in healthy horses and horses with naturally acquired gastrointestinal tract disorders.
American journal of veterinary research    March 26, 2002   Volume 63, Issue 3 454-458 doi: 10.2460/ajvr.2002.63.454
Ramaswamy CM, Eades SC, Venugopal CS, Hosgood GL, Garza F, Barker SA, Moore RM.To compare plasma endothelin (ET)- like immunoreactivity between healthy horses and those with naturally acquired gastrointestinal tract disorders. Methods: 29 healthy horses and 142 horses with gastrointestinal tract disorders. Methods: Blood samples were collected from healthy horses and from horses with gastrointestinal tract disorders prior to treatment. Magnitude and duration of abnormal clinical signs were recorded, and clinical variables were assessed via thorough physical examinations. Plasma concentrations of ET-like immunoreactivity were measured by use of a radioimmunoassay for huma...
The effect of a pectin-lecithin complex on prevention of gastric mucosal lesions induced by feed deprivation in ponies.
Equine veterinary journal    March 21, 2002   Volume 34, Issue 2 195-198 doi: 10.2746/042516402776767268
Murray MJ, Grady TC.This study examined whether a product containing a pectinlecithin complex (Pronutrin) (1) could prevent gastric lesions induced in the equine gastric squamous epithelial mucosa using a protocol of intermittent feed deprivation that resulted in prolonged increased gastric acidity (Murray and Eichorn 1996). Eight ponies were used and served as their own controls in 2 trials in which there were 72 h cumulative deprivation (alternating 24 h with no feed, then 24 h free choice hay), with a 4-week interval between trials. Ponies were assigned randomly to receive either 250 g Pronutrin plus 200 g pel...
A comparison of the mechanical strength of two stapled anastomosis techniques for equine small intestine.
Veterinary surgery : VS    March 9, 2002   Volume 31, Issue 2 104-110 doi: 10.1053/jvet.2002.31051
Bickers RJ, Blackford JT, Eiler H, Rohrbach B.To compare bursting strength, time of construction, and cost of a closed one-stage, stapled functional end-to-end jejunojejunostomy (FEE) with a stapled side-to-side jejunojejunostomy (STS). Methods: Experimental, randomized block design. Methods: Seven adult horses without gastrointestinal disease. Methods: The jejunum was isolated, and three FEE, three STS, and three control segments were created in each horse using a randomized block design. Anastomosis time was recorded. The intraluminal pressure at failure and mode of failure were recorded. Length at failure was measured on digitized imag...
5-Hydroxytryptamine mediated contractions in isolated preparations of equine ileum and pelvic flexure: pharmacological characterization of a new 5-HT(4) agonist.
Journal of veterinary pharmacology and therapeutics    March 5, 2002   Volume 25, Issue 1 49-58 doi: 10.1046/j.1365-2885.2002.00380.x
Weiss R, Abel D, Scholtysik G, Straub R, Mevissen M.The effects of 5-hydroxytryptamine (5-HT), HTF 919, a new 5-HT(4) agonist, and the antagonists SB 203-186 (5-HT(4)) and tropisetron (5-HT(3)) on intestinal motility were tested in vitro on isolated preparations of horse ileum and pelvic flexure. Concentration-response curves were created by cumulative application of the agonists with or without preincubation of the antagonists. The 5-HT preparation induced a concentration-dependent contraction in equine ileum and pelvic flexure. The results indicate that 5-HT receptors are present in all parts of equine intestine investigated in this study. Tr...
Prostaglandin E2 and reactive oxygen metabolite damage in the cecum in a pony model of acute colitis.
Canadian journal of veterinary research = Revue canadienne de recherche veterinaire    February 23, 2002   Volume 66, Issue 1 50-54 
McConnico RS, Argenzio RA, Roberts MC.The objective of this project was to determine early tissue biochemical events associated with increased colonic secretion during the acute stage of castor-oil-induced colitis by measuring cecal mucosal and submucosal malondialdehyde (MDA) and prostaglandin E2 (PGE2), levels in ponies. Intestinal tissue (inflamed or healthy) samples were obtained from 4 age- and sex-matched Shetland ponies. Biochemical methods were used to determine MDA and PGE2 levels in intestinal tissue samples from inflamed and healthy equine intestine. Inflamed tissue MDA and PGE2 levels increased with time after castor o...
Evaluation of acetaminophen absorption in horses with experimentally induced delayed gastric emptying.
American journal of veterinary research    February 15, 2002   Volume 63, Issue 2 170-174 doi: 10.2460/ajvr.2002.63.170
Lohmann KL, Bahr A, Cohen ND, Boothe DM, Roussel AJ.To evaluate the correlation between the half-time of liquid-phase gastric emptying (T50) determined by use of nuclear scintigraphy, using technetiumTc 99m pentetate, and absorption variables of orally administered acetaminophen in horses with experimentally delayed gastric emptying. Methods: 6 mature horses. Methods: Delayed gastric emptying was induced by IV injection of atropine sulfate. Twenty minutes later, acetaminophen and technetium Tc 99m pentetate were administered simultaneously via nasogastric tube. Serial lateral images of the stomach region were obtained, using a gamma camera. Pow...
Identification of virulence attributes of gastrointestinal Escherichia coli isolates of veterinary significance.
Animal health research reviews    February 8, 2002   Volume 2, Issue 2 129-140 
DebRoy C, Maddox CW.The pathogenic strains of Escherichia coli recovered from the intestinal tract of animals fall into categories called enterotoxigenic, enteropathogenic, enterohemorrhagic and necrotoxigenic. The other two categories, enteroinvasive and enteroaggregative, have not been reported in animals. The pathogenicity of these strains is determined by the presence of certain genes that encode adhesins and toxins, are generally organized in large blocks in chromosomes, large plasmids or phages, and are often transmitted horizontally between strains. In this review, we summarize current knowledge of the vir...
Population-based study of fecal shedding of Clostridium perfringens in broodmares and foals.
Journal of the American Veterinary Medical Association    February 7, 2002   Volume 220, Issue 3 342-348 doi: 10.2460/javma.2002.220.342
Tillotson K, Traub-Dargatz JL, Dickinson CE, Ellis RP, Morley PS, Hyatt DR, Magnuson RJ, Riddle WT, Bolte D, Salman MD.To determine the percentage of broodmares and foals that shed Clostridium perfringens in their feces and classify the genotypes of those isolates. Methods: Prospective cross-sectional study. Methods: 128 broodmares and their foals on 6 equine premises. Methods: Anaerobic and aerobic bacteriologic cultures were performed on feces collected 3 times from broodmares and foals. All isolates of C. perfringens were genotyped. Results: Clostridium perfringens was isolated from the feces of 90% of 3-day-old foals and 64% of foals at 8 to 12 hours of age. A lower percentage of broodmares and 1- to 2-mon...
Successful treatment of a colonic adenocarcinoma in a horse.
Equine veterinary journal    January 31, 2002   Volume 34, Issue 1 102-104 doi: 10.2746/042516402776181178
Roy MF, Parente EJ, Donaldson MT, Habecker P, Axon J.Malignant neoplasia of the equine large colon is rare and reports are limited to a few cases of adenocarcinoma (Traub et al. 1983; Wright and Edwards 1984; Rottman et al. 1991; Kirchhof et al. 1996; East et al. 1998) and lymphosarcoma (Dabareiner et al. 1996). Early diagnosis of colonic neoplasia is crucial if one is to attempt surgical resection before metastasis has occurred. Unfortunately, microscopic (Dabareiner et al. 1996) or macroscopic (Traub et al. 1983; Rottman et al. 1991; East et al. 1998) metastasis are often already present by the time of diagnosis since clinical signs o...
Metal toxicosis in horses.
The Veterinary clinics of North America. Equine practice    January 10, 2002   Volume 17, Issue 3 517-527 doi: 10.1016/s0749-0739(17)30049-4
Casteel SW.The ubiquity and stability of metals in the environment make them unique as a pollutant or an essential dietary component. Metals are neither created nor destroyed by chemical processes but are redistributed in the environment. In combination with other elements, metal compounds and alloys are essential materials of the contemporary world. Inappropriate use or distribution in the environment leads to adverse health effects on all biologic systems, including horses. Gastrointestinal upset is a common feature of acute toxicosis with metals in general. Among the metals discussed, arsenic and inor...
Seasonal transmission of gastrointestinal parasites of equids in southern Louisiana.
The Journal of parasitology    January 10, 2002   Volume 87, Issue 6 1371-1378 doi: 10.1645/0022-3395(2001)087[1371:STOGPO]2.0.CO;2
Chapman MR, French DD, Klei TR.Parasite-naive pony foals were used as sentinels to monitor transmission of gastrointestinal parasites of equids in Louisiana during 4 seasons of the year. Two annual periods were studied, 1988-1989 and 1992-1993. Two or 3 foals each season were turned out to graze a contaminated pasture along with resident parasitized mares and their foals. After a grazing period of 8 wk, sentinel ponies were held in a parasite-free box stall for a period of 6 wk to allow parasites to develop, thus enhancing the evaluation of hypobiotic stages. Following this holding period, necropsies were performed for comp...
A mathematical model of the ascending colon of the horse.
Annals of anatomy = Anatomischer Anzeiger : official organ of the Anatomische Gesellschaft    January 5, 2002   Volume 183, Issue 6 551-554 doi: 10.1016/S0940-9602(01)80066-2
Yildiz H, Yildiz B, Arslan K, Ozgür C.In this study we present a geometric model of the ascending colon of the horse, especially the left ventral colon and the right ventral colon, the left dorsal colon and the right dorsal colon and the pelvic flexure. We also present a mathematical model of the cross sections of these ascending colon parts with the exceptions of the pelvic flexure. We show that these cross-sections correspond to the closed algebraic curves known as epitrochoid.
Effects of intestinal ischemia on in vitro activity of adjacent jejunum in samples obtained from ponies.
American journal of veterinary research    January 5, 2002   Volume 62, Issue 12 1973-1978 doi: 10.2460/ajvr.2001.62.1973
Malone ED, Kannan MS.To determine whether intestinal ischemia would alter activity of the jejunum in vitro or alter staining characteristics for certain types of enteric neurotransmitters. Methods: Jejunal samples obtained from 10 ponies. Methods: Jejunal samples were obtained from locations proximal and distal to an area of small intestine made ischemic for 60 minutes. A portion of each sample was stained to detect substance P-like immunoreactivity, cholinergic and adrenergic neurons, and nitric oxide synthase. Portions of the remaining samples were suspended in muscle baths. General activity patterns (frequency ...
Altered immune responses to a heterologous protein in ponies with heavy gastrointestinal parasite burdens.
Equine veterinary journal    January 5, 2002   Volume 33, Issue 7 658-663 doi: 10.2746/042516401776249282
Edmonds JD, Horohov DW, Chapmat MR, Pourciau SS, Antoku K, Snedden K, Klei TR.This study was performed to test the hypothesis that immunity to heterologous vaccination would improve when the parasites were removed. It was also expected that parasitised ponies would exhibit a biased Th2 cytokine response to KLH immunisation. Helminth parasites are common in horses even in the era of highly effective broad-spectrum antiparasiticides. These parasites have been shown to alter the outcome to heterologous immunisation in a number of host species. The effect of gastrointestinal parasites on heterologous vaccination has not been addressed in equids. In the current study, humora...
In vitro responses of equine colonic arterial and venous rings to adenosine triphosphate.
American journal of veterinary research    January 5, 2002   Volume 62, Issue 12 1928-1933 doi: 10.2460/ajvr.2001.62.1928
Tetens J, Venugopal CS, Holmes EP, Koch CE, Hosgood G, Moore RM.To evaluate the in vitro effects of adenosine tryphosphate (ATP) on vasomotor tone of equine colonic vasculature. Methods: Arteries and veins from the left ventral colon of 14 mixed-breed horses euthanatized for reasons unrelated to cardiovascular or gastrointestinal tract disease. Methods: Endothelium-intact and -denuded arterial and venous rings were precontracted with 10(-7) and 1.8 x 10(-8) M endothelin-1, respectively. In 1 trial, endothelium-intact rings were also incubated with 10(-4) M N omega-nitro-L-arginine methyl ester (L-NAME) to inhibit nitric oxide (NO) production. Adenosine tri...
Gastrointestinal stromal tumors in equids.
Veterinary pathology    December 6, 2001   Volume 38, Issue 6 689-697 doi: 10.1354/vp.38-6-689
Del Piero F, Summers BA, Cummings JF, Mandelli G, Blomme EA.Eleven gastrointestinal neoplasms from 10 aged horses and 1 pony were examined grossly, his tologically, immunohistochemically, and (in two cases) ultrastructurally. Clinical signs were associated with two neoplasms, and the other nine tumors were incidental findings at laparotomy or necropsy. The neoplasms were solitary (9/11) or multifocal (2/11), well demarcated, serosal or mural masses of stomach (1), jejunum (1), ileum (3), cecum (5), and/or colon (2). Microscopic examination revealed discrete spindle cells arranged in compact patterns with fascicles and whorls or cribriform pattern with ...
Feeding practices associated with colic in horses.
Journal of the American Veterinary Medical Association    November 29, 2001   Volume 219, Issue 10 1419-1425 doi: 10.2460/javma.2001.219.1419
Hudson JM, Cohen ND, Gibbs PG, Thompson JA.To determine whether specific feeding practices were associated with development of colic in horses. Methods: Prospective matched case-control study. Methods: 364 horses examined by veterinarians in private practice in Texas because of colic (cases; n = 182) or any other reason (controls; 182). Methods: Participating veterinarians were sent forms at the beginning of the study to collect information on signalment, feeding management practices, farm management practices, and preventive medical treatments. Case and control horses were compared by use of conditional logistic regression to identify...
Distribution of epidermal growth factor receptor (EGFr) in normal and acute peptic-injured equine gastric squamous epithelium.
Equine veterinary journal    November 27, 2001   Volume 33, Issue 6 562-569 doi: 10.2746/042516401776563481
Jeffrey SC, Murray MJ, Eichorn ES.Growth factors are important in healing and restoration of injured gastrointestinal tissues and, therefore, we characterised temporally the distribution and density of epidermal growth factor receptor (EGFr) in normal and peptic-injured gastric squamous epithelium of horses. Lesions were induced in the equine gastric squamous epithelium using a feed deprivation protocol that results in prolonged increased gastric acidity. Fifteen mature horses, 9 geldings and 6 mares, age 3 to 20 years, were used and divided into 3 groups: Group 1 (n = 5) were subjected to euthanasia for problems unrelated to ...
Histological characteristics of induced acute peptic injury in equine gastric squamous epithelium.
Equine veterinary journal    November 27, 2001   Volume 33, Issue 6 554-560 doi: 10.2746/042516401776563517
Murray MJ, Eichorn ES, Jeffrey SC.The objective of the study reported here was to characterise the microscopic appearance of peptic-injured equine gastric squamous epithelium in relation to the duration of peptic injury. Erosions and ulcers were induced in equine gastric squamous epithelium using a feed deprivation protocol that results in prolonged increased gastric acidity. Specimens of normal gastric mucosa and mucosa with lesions created after 48 and 96 h of feed deprivation were compared for characteristics associated with angiogenesis and mucosal proliferation. Fifteen mature horses, 9 geldings and 6 mares, age 3-20 year...
Effect of romifidine on gastrointestinal motility, assessed by transrectal ultrasonography.
Equine veterinary journal    November 27, 2001   Volume 33, Issue 6 570-576 doi: 10.2746/042516401776563436
Freeman SL, England GC.A technique of transrectal ultrasonography was developed to investigate the effects of romifidine 80 and 120 microg/kg bwt on intestinal motility in the horse. Motility of the small intestine, caecum and left ventral colon were assessed following injection of romifidine and a saline control, using a blinded, cross-over study design in 6 horses. Measurements were taken at 15, 30, 60, 120, 180 and 240 min after drug administration. There was a slight nonsignificant decrease in motility in the control group over the 4 h study period. Both doses of romifidine produced a marked decrease in gastroin...
In vitro evaluation of a customized solution for use in attenuating effects of ischemia and reperfusion in the equine small intestine.
American journal of veterinary research    November 13, 2001   Volume 62, Issue 11 1679-1686 doi: 10.2460/ajvr.2001.62.1679
Van Hoogmoed LM, Snyder JR, Nieto J, Harmon FA.To determine whether a customized solution could attenuate the effects of low-flow ischemia and reperfusion injury of the equine jejunum. Methods: A segment of jejunum obtained from 21 healthy adult horses. Methods: A segment of jejunum was maintained in an isolated extracorporeal circuit, and arterial flow was reduced to 20% of baseline for 40 minutes (ischemia) followed by 60 minutes of reperfusion. In 1 group, a customized solution was infused at a rate of 1 ml/min during low-flow ischemia and 3 ml/min during reperfusion. In a second group, the solution was infused at the same rate during l...
The(13)C-octanoic acid breath test for detection of effects of meal composition on the rate of solid-phase gastric emptying in ponies.
Research in veterinary science    October 23, 2001   Volume 71, Issue 1 81-83 doi: 10.1053/rvsc.2001.0488
Wyse CA, Murphy DM, Preston T, Sutton DG, Morrison DJ, Christley RM, Love S.The aim of this study was to apply the(13)C-octanoic acid breath test for detection of alterations in the rate of solid-phase gastric emptying, induced by changes in test meal composition, in ponies. After a 14 hour fast the ponies (n = 4) ingested a test meal with 0, 35 or 70 ml soya oil, and labelled with 250 mg(13)C-octanoic acid. Each pony was given each of the three test meals on three separate occasions, in a randomised order. Exhaled breath samples were collected for 12 hours after ingestion of the test meal. Breath samples were analysed by continuous flow isotope ratio mass spectrometr...
A reduction in interstitial cells of Cajal in horses with equine dysautonomia (grass sickness).
Autonomic neuroscience : basic & clinical    September 26, 2001   Volume 92, Issue 1-2 37-44 doi: 10.1016/S1566-0702(01)00316-2
Hudson N, Mayhew I, Pearson G.Equine dysautonomia (grass sickness) is a common, frequently fatal disease of horses characterised by dysfunction of the gastrointestinal tract. Interstitial cells of Cajal are the c-Kit-immunoreactive cells responsible for the generation of pacemaker activity in gastrointestinal smooth muscle. Impairment of this pacemaker action has been implicated in several motility disorders in humans and laboratory mammals. The aim of this study was to test the hypothesis that changes in interstitial cells of Cajal may be involved in the pathophysiology of the intestinal dysfunction observed in equine gra...
Use of the Accusport semi-automated analyser to determine blood lactate as an aid in the clinical assessment of horses with colic.
Journal of the South African Veterinary Association    September 21, 2001   Volume 72, Issue 1 12-17 doi: 10.4102/jsava.v72i1.602
Schulman ML, Nurton JP, Guthrie AJ.The most useful diagnostic methods in the initial evaluation of horses with colic assess the morphological and functional status of the gastrointestinal tract and cardiovascular status. This evaluation is best achieved using a combination of clinical and laboratory data. Blood lactate concentration (BL) is one of these variables. BL rises mainly due to poor tissue perfusion and anaerobic glycolysis associated with shock, providing an indicator of both the severity of disease and its prognosis. A hand-held lactate meter, Accusport, provides a rapid (60 seconds), inexpensive dry-chemical-based d...
Characterization of alpha-adrenoceptor subtypes in smooth muscle of equine ileum.
American journal of veterinary research    September 19, 2001   Volume 62, Issue 9 1370-1374 doi: 10.2460/ajvr.2001.62.1370
Re G, Badino P, Odore R, Galaverna D, Girardi C.To determine the concentration and binding characteristics of alpha-adrenoceptor subtypes in smooth muscle cell membranes of equine ileum. Methods: Segments of longitudinal and circular smooth muscle from the ileum of 8 male and 8 female adult horses. Methods: Distribution of alpha-adrenoceptor subtypes was assessed by use of radioligand binding assays incorporating [3H]-prazosin and [3H]-rauwolscine, highly selective alpha1- and alpha2-adrenoceptor antagonists, respectively. Characterization of adrenoceptor subtypes was performed by use of binding inhibition assays. Results: On the basis of b...
Alterations in systemic and local colonic hemodynamic variables associated with intravenous infusion of ATP-MgCl2 in healthy anesthetized horses.
American journal of veterinary research    August 11, 2001   Volume 62, Issue 8 1240-1249 doi: 10.2460/ajvr.2001.62.1240
Tetens J, Eades SC, Hosgood G, Koch CE, Moore RM.To characterize alterations in systemic and local colonic hemodynamic variables associated with IV infusion of ATP-MgCl2 in healthy anesthetized horses. Methods: 12 adult horses. Methods: Six horses were given ATP-MgCl2, IV, beginning at a rate of 0.1 mg of ATP/kg of body weight/min with incremental increases until a rate of 1.0 mg/kg/min was achieved. The remaining 6 horses were given an equivalent volume of saline (0.9% NaCl) solution over the same time period. Colonic and systemic hemodynamic variables and colonic plasma nitric oxide (NO) concentrations were determined before, during, and a...
Endoscopic findings of the gastric antrum and pylorus in horses: 162 cases (1996-2000).
Journal of veterinary internal medicine    July 27, 2001   Volume 15, Issue 4 401-406 
Murray MJ, Nout YS, Ward DL.Medical records and endoscopy images were examined for 209 horses that had gastroscopic examinations performed with a 2.5- or 3-m-long endoscope by one of the authors (MJM) during a 4-year period (1996-2000). The antrum and pylorus were viewed in 162 horses, and the duodenum was viewed in 94 horses. Of these 162 horses, the gastric squamous mucosa was seen in 157 horses and 50% or more of the glandular mucosa of the body of the stomach was seen in 156 horses. Erosions or ulcers were seen in the gastric squamous mucosa in 91 (58%) horses. Erosions or ulcers were seen in the glandular mucosa of ...
Re-evaluation of ivermectin efficacy against equine gastrointestinal parasites.
Veterinary parasitology    June 26, 2001   Volume 98, Issue 4 315-320 doi: 10.1016/s0304-4017(01)00436-8
Klei TR, Rehbein S, Visser M, Langholff WK, Chapman MR, French DD, Hanson P.Two trials were conducted to confirm the efficacy of ivermectin paste against endoparasites of horses. In these trials, 20 ponies were treated with ivermectin oral paste at 200 mcg x kg body weight once on Day 0, and 20 ponies served as unmedicated controls. The animals carried naturally acquired parasite infections as confirmed by pretrial fecal examination. The animals were necropsied for worm recovery on Days 14, 15 or 16. Parasites recovered were identified to species. Horses treated with ivermectin had significantly (P99.0% reduction) adult small strongyles (Coronocyclus spp including C. ...
Mucosal microvasculature of the gastric pars nonglandularis and margo plicatus in the horse: a scanning electron microscopic study on corrosion casts.
Annals of anatomy = Anatomischer Anzeiger : official organ of the Anatomische Gesellschaft    June 9, 2001   Volume 183, Issue 3 255-259 doi: 10.1016/S0940-9602(01)80228-4
Staszyk C, Jackowiak H, Godynicki S, Gasse H.The microvascularisation of the equine non-glandular gastric mucosa was investigated using corrosion casts for scanning electron microscopy. Specimens from 11 healthy horses were examined. Corresponding to the high incidence of gastric lesions in the margo plicatus, special attention was paid to the differentiation between the pars nonglandularis and the margo plicatus as a distinct area of the aglandular mucosa. In both areas, the blood vessels of the lamina propria mucosae were arranged in three vascular layers; i. e. I) a basal, II) an intermediate, and III) a subepithelial horizontal level...
Survival rates for horses undergoing stapled small intestinal anastomosis: 84 cases (1988-1997).
Journal of the American Veterinary Medical Association    June 8, 2001   Volume 218, Issue 10 1603-1607 doi: 10.2460/javma.2001.218.1603
Fugaro MN, Coté NM.To determine whether location and type of small intestinal anastomosis and other variables were associated with short- and long-term survival rates in horses undergoing stapled small intestinal anastomosis. Methods: Retrospective study. Methods: 84 horses that underwent small intestinal anastomosis. Methods: Medical records from 1988 to 1997 were examined for horses that underwent stapled small intestinal anastomosis. Horses were allotted into 4 groups: jejunojejunostomy (n = 27), jejunoileostomy (11), jejunoileocecostomy with small intestinal resection (20), and jejunoileocecostomy without sm...
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