Anastomotic techniques for small intestinal obstruction in horses. A scoping review.
Abstract: Small bowel obstruction (SBO) is a significant cause of surgery in adult horses presenting with colic pain. SBOs often require resection and anastomosis. While various techniques for intestinal anastomoses have been developed, it remains uncertain if any fully meet our clinical needs. Objective: To conduct a scoping review of publications on anastomosis techniques and outcomes for the treatment of SBO. Methods: Scoping review. Methods: A literature review was conducted using the CAB, Web of Science, Scopus, and PubMed databases. Peer-reviewed scientific articles in English, published between 1992 and 2023, were included. A quality assessment was performed for potentially eligible articles. Experimental studies, case reports, and case series with less than five cases were excluded and relevant data on study methods and sample size were extracted and charted from remaining articles. Anastomosis type and outcome were reported for articles considered potentially eligible for meta-analysis. Articles in which only overall outcome was reported or details on type of anastomosis were not reported were excluded for the final charting. Results: Of 3024 articles, 210 underwent a quality assessment. The most common study designs were case reports and case series (64.3%), followed by experimental studies (17.1%). After further exclusions, 104 articles met the inclusion criteria. In only 42 articles detailed data on type of anastomosis and relative outcome were reported. A total of 23 anastomosis types were reported for the treatment of SBO, with 6 different outcomes evaluated. Both short- and long-term survival rates consistently exceed 70% for all types of anastomosis (jejuno-jejunal, jejuno-ileal, and jejunocaecal). Conclusions: Non-English language studies and conference proceedings were excluded. Conclusions: The body of literature focused on surgical treatment for SBO exhibits low-quality evidence. Several techniques of anastomosis were described for different pathologies. However, there is a lack of homogeneity in reporting outcome for each surgical technique. Furthermore, outcomes considered varied significantly among studies and were sometimes poorly reported, although success rates are generally high. Overall, there is a need for better-structured studies on existing and commonly used techniques before comparing techniques and exploring other innovative approaches.
© 2024 EVJ Ltd.
Publication Date: 2024-02-20 PubMed ID: 38379364DOI: 10.1111/evj.14076Google Scholar: Lookup
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- Journal Article
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Summary
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The research article deals with a comprehensive review of techniques used for anastomosis (intestinal rejoining) during surgeries for small bowel obstructions (SBO) in horses.
Objective and Methodology
- The purpose of this study is to undertake a scoping review of published literature on anastomosis techniques and their outcomes for treating small bowel obstructions in horses.
- The researchers conducted a meticulous literature review using various databases like CAB, Web of Science, Scopus, and PubMed, filtering for peer-reviewed scientific articles published in English between 1992 and 2023. Potentially applicable articles were quality assessed to select the ones suitable for the study.
- The study excluded experimental studies, case reports, and case series with fewer than five cases. Furthermore, the research only included articles with detailed information about the anastomosis type and its associated outcomes and disregarded articles without this detailed information or that only reported the overall result.
Results
- From a total of 3024 articles, 210 were quality assessed, from which only 104 met the actual inclusion criteria. Detailed information on the type of anastomosis and its relative outcomes was reported only in 42 articles.
- There were 23 reported anastomosis types used for treating SBO in horses, with six different outcomes evaluated. The methods included jejuno-jejunal, jejuno-ileal, and jejunocaecal anastomosis. Survival rates post these surgeries were found to be fairly high, with both short and long-term survival rates consistently exceeding 70% for all types of anastomosis.
Conclusions
- The study concluded that the available literature primarily focused on surgical treatment for SBO presented low-quality evidence. There were a variety of anastomosis techniques described for different pathologies, but there lacked a uniform reporting system concerning the outcomes for each surgical technique.
- The metrics for gauging outcomes varied widely across studies and were sometimes inadequately reported. Despite this, the success rates of these techniques were found to be generally high.
- The study recommends better-structured studies on the standard and commonly used techniques before comparing and exploring new and innovative approaches to anastomosis.
Cite This Article
APA
Giusto G, Cerullo A, Gandini M.
(2024).
Anastomotic techniques for small intestinal obstruction in horses. A scoping review.
Equine Vet J.
https://doi.org/10.1111/evj.14076 Publication
Researcher Affiliations
- Department of Veterinary Sciences, University of Turin, Turin, Italy.
- Department of Veterinary Sciences, University of Turin, Turin, Italy.
- Department of Veterinary Sciences, University of Turin, Turin, Italy.
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