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Clinical assessment and outcome of a single-layer technique for anastomosis of the small intestine in horses.
Abstract: In order to assess postoperative outcome in horses undergoing end-to-end anastomosis of the small intestine, performed using a one-layer technique, 15 horses that underwent exploratory coeliotomy, resection of the small intestine and end-to-end anastomosis using a continuous Lembert pattern were studied. Information on the age, breed, sex, diagnosis, treatment, complications and outcome of each case were obtained from medical records. Follow-up information was obtained via telephone conversations with clients and trainers. Five of the horses had short-term postoperative complications: one had postoperative ileus (POI), colic and peritonitis, one had POI and colic, two had POI only and one had diarrhoea only. A second exploratory coeliotomy was recommended in two of the 15 horses (13 per cent). The short-term survival rate, defined as survival up to the time of discharge from the hospital, was 93.3 per cent (14 of 15 horses). The long-term survival rate, defined as survival for at least 12 months after the surgery, was 84.6 per cent (11 of 13 horses followed up).
Publication Date: 2011-01-25 PubMed ID: 21257465DOI: 10.1136/vr.c5251Google Scholar: Lookup The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
- Research Support
- Non-U.S. Gov't
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
This research investigates the outcomes of an intestinal surgery technique known as end-to-end anastomosis in horses, with the study focusing on 15 horses. The study recorded a short-term survival rate of 93.3% and a long-term survival rate of 84.6%.
Methodology
- The study involved 15 horses that underwent a surgical procedure called end-to-end anastomosis of the small intestine, using a single-layer technique. This procedure was performed through exploratory coeliotomy and resection of the small intestine.
- Data on each horse’s age, breed, sex, diagnosis, and treatment was collected from medical records. Moreover, records of any complications and outcomes were also gathered.
- Follow-up information was obtained via telephone conversations with owners and trainers to assess the after-effects and long-term survival rates.
Findings
- Postoperative complications were observed in five of the horses. The complications included postoperative ileus (POI), colic, peritonitis, and diarrhea.
- Due to the complications faced, a second exploratory coeliotomy was recommended for two of the 15 horses.
- The short-term survival rate, gauged as survival up to the point of being discharged from the hospital, was found to be 93.3%; 14 out of the 15 horses survived until discharge.
- The long-term survival rate, defined as survival for at least 12 months post-surgery, was 84.6%; out of 13 horses followed up, 11 survived beyond a year after surgery.
Conclusion
- The research provides valuable insights into the effectiveness and risks of end-to-end anastomosis surgery in horses. The relatively high survival rates suggest that, despite some postoperative complications, the single-layer technique for anastomosing the small intestine can be considered a viable option.
- However, the necessity of a second coeliotomy in some cases indicates that not all surgeries may go as planned, necessitating further intervention. This highlights the need for careful postoperative observation and prompt management of complications.
Cite This Article
APA
Mendez-Angulo JL, Ernst NS, Mudge MC.
(2011).
Clinical assessment and outcome of a single-layer technique for anastomosis of the small intestine in horses.
Vet Rec, 167(17), 652-655.
https://doi.org/10.1136/vr.c5251 Publication
Researcher Affiliations
- Galbreath Equine Trauma, Intensive Care and Research Center, Veterinary Teaching Hospital, Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Ohio State University, 601 Vernon L. Tharp Street, Columbus, OH 43210, USA.
MeSH Terms
- Anastomosis, Surgical / methods
- Anastomosis, Surgical / veterinary
- Animals
- Female
- Horse Diseases / mortality
- Horse Diseases / surgery
- Horses
- Intestine, Small / surgery
- Laparoscopy / veterinary
- Male
- Postoperative Complications / epidemiology
- Postoperative Complications / veterinary
- Survival Analysis
- Time Factors
- Treatment Outcome
Citations
This article has been cited 2 times.- Bracamonte JL, Devick I, Thomas KL, Hendrick S. Comparison of hand-sewn and oversewn stapled jejunojejunal anastomoses in horses. Can Vet J 2018 Jan;59(1):67-73.
- 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.
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