A retrospective study comparing the outcome of horses undergoing small intestinal resection and anastomosis with a single layer (Lembert) or double layer (simple continuous and Cushing) technique.
Abstract: To (1) compare postoperative complications and survival in horses after small intestinal resection and anastomosis using 2 anastomosis techniques (single layer Lembert; double layer simple continuous oversewn with Cushing), and (2) to compare outcome by anastomosis type (jejunoileostomy; jejunojejunostomy). Methods: Retrospective case series. Methods: Horses (n = 53). Methods: Medical records (July 2006-July 2010) of all horses that had small intestinal resection and anastomosis. Horses were divided into groups based on technique and type of anastomosis. Comparisons of pre- and intraoperative findings (disease severity), postoperative complications, and survival rates were made between groups. Results: There were no differences in disease severity, postoperative complications, or survival between single layer (n = 23) or double layer (n = 31) anastomoses. There were no differences in disease severity or survival between jejunoileostomy (n = 16) or jejunojejunostomy (n = 38). There was a higher incidence of postoperative colic in hospital after jejunoileostomy (13/16) compared with jejunojejunostomy (18/38) (P = .0127). Conclusions: Postoperative complications and survival are comparable between horses undergoing single layer and double layer small intestinal end-to-end anastomoses. With the exception of increased postoperative colic in the hospital, postoperative complications and survival after jejunoileostomy and jejunojejunostomy are also comparable.
© Copyright 2014 by The American College of Veterinary Surgeons.
Publication Date: 2014-04-01 PubMed ID: 24689880DOI: 10.1111/j.1532-950X.2014.12143.xGoogle Scholar: Lookup
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- Journal Article
Summary
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This research study provides a comparison of postoperative complications and survival rates in horses after small intestinal resection and anastomosis, using two distinct techniques: single-layer Lembert and double-layer (simple continuous and Cushing). Additionally, it compares outcomes based on the type of anastomosis: jejunoileostomy or jejunojejunostomy.
Methodology
- The study, conducted retrospectively, looked at the medical records of 53 horses between July 2006 and July 2010. All the selected horses had undergone small intestinal resection and anastomosis.
- The researchers divided the horses into groups based on the technique applied and the type of anastomosis performed.
- Comparisons were then made with respect to the pre and intraoperative findings (severity of disease), postoperative complications, and survival rates amongst the different groups.
Results
- The researchers found no significant differences in the severity of disease, postoperative complications, or survival rates between the single-layer (n=23) or double-layer anastomosis groups (n=31).
- Similarly, results showed no disparity in disease severity or survival rates between jejunoileostomy (n=16) or jejunojejunostomy (n=38).
- However, there was a noticeable difference in terms of postoperative colic incidences in hospital following jejunoileostomy (13/16), as compared to jejunojejunostomy (18/38). This difference was statistically significant (P = .0127).
- Despite this variation in the rate of postoperative colic, postoperative complications and survival after either jejunoileostomy or jejunojejunostomy were found to be comparable.
Conclusion
- The study concludes that there is no significant difference in postoperative complications and survival rates, whether it’s a single layer or a double layer small intestinal end-to-end anastomosis.
- Despite a higher incidence of postoperative colic in the hospital following jejunoileostomy, postoperative complications and survival rates for jejunoileostomy and jejunojejunostomy are also comparable.
Cite This Article
APA
Close K, Epstein KL, Sherlock CE.
(2014).
A retrospective study comparing the outcome of horses undergoing small intestinal resection and anastomosis with a single layer (Lembert) or double layer (simple continuous and Cushing) technique.
Vet Surg, 43(4), 471-478.
https://doi.org/10.1111/j.1532-950X.2014.12143.x Publication
Researcher Affiliations
- College of Veterinary Medicine, Department of Large Animal Medicine, University of Georgia, Athens, Georgia.
MeSH Terms
- Anastomosis, Surgical / methods
- Anastomosis, Surgical / veterinary
- Animals
- Colic / surgery
- Colic / veterinary
- Horse Diseases / surgery
- Horses
- Intestine, Small / surgery
- Retrospective Studies
Citations
This article has been cited 5 times.- Liu M, Zhang M, Ren X, Liu C, Yu H, Xu XL, Ding GJ, Fu T, Geng L, Cheng F. Asymmetric figure-of-eight single-layer suture technique for intestinal anastomosis: A preliminary study. Front Surg 2023;10:1109751.
- Averay K, van Galen G, Ward M, Verwilghen D. Effect of three different needle holders on gastrointestinal anastomosis construction time and bursting pressure in equine jejunal segments. BMC Vet Res 2021 Apr 15;17(1):167.
- Zeng D, Xia B, Liu Q, Chen G, Gao K, Yan C, Chen G, Zhou H, Tang W, Guo C. Comparison of the two intestinal anastomosis methods in pediatric patients. Open Med (Wars) 2025;20(1):20241055.
- Baldwin CM, Gillen A. An ex vivo comparison of jejunal transection angles and the effect on lumen diameter following end-to-end jejunojejunal anastomoses. Vet Surg 2026 Feb;55(2):484-490.
- Matthews LB, Sanz M, Sellon DC. Long-term outcome after colic surgery: retrospective study of 106 horses in the USA (2014-2021). Front Vet Sci 2023;10:1235198.
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