Clinical evaluation of a closed, one-stage, stapled, functional, end-to-end jejuno-ileal anastomosis in 5 horses.
Abstract: This study describes the outcome and complications in horses that had a closed, one-stage, stapled, functional, end-to-end (COSFE) jejuno-ileal anastomosis (JIA) following resection of compromised small intestine. Medical records were reviewed to identify all horses that had a COSFE JIA performed during exploratory laparotomy and to determine post-operative complications and final outcome. All 5 horses that were identified had successful COSFE JIA with resection of various amounts of distal jejunum and proximal ileum. Post-operative ileus occurred in 1 of the 5 horses. All horses survived at least 1 year after surgery. The survival times and incidence of post-operative ileus compared favorably with published results for other types of small intestinal resection and anastomoses. A COSFE JIA is a viable surgical procedure to correct lesions of the distal jejunum and proximal ileum. This study describes the outcome and complications in horses that had a closed, one-stage, stapled, functional, end-to-end (COSFE) jejuno-ileal anastomosis (JIA) following resection of compromised small intestine. Medical records were reviewed to identify all horses that had a COSFE JIA performed during exploratory laparotomy and to determine post-operative complications and final outcome. All 5 horses that were identified had successful COSFE JIA with resection of various amounts of distal jejunum and proximal ileum. Post-operative ileus occurred in 1 of the 5 horses. All horses survived at least 1 year after surgery. The survival times and incidence of post-operative ileus compared favorably with published results for other types of small intestinal resection and anastomoses. A COSFE JIA is a viable surgical procedure to correct lesions of the distal jejunum and proximal ileum. Résumé Cette étude décrit le résultat et les complications d’une anastomose jéjuno-iléale (AJI) fermée, en un temps, agrafée, fonctionnelle et termino-terminale (FTAFTT) chez des chevaux après la résection d’un petit intestin compromis. Les dossiers médicaux ont été examinés pour identifier tous les chevaux qui avaient subi une AJI FTAFTT durant une laparotomie exploratoire et déterminer les complications postopératoires et le résultat final. Les 5 chevaux qui ont été identifiés ont tous subi une AJI FTAFTT réussie avec résection de diverses quantités du jéjunum distal et de l’iléon proximal. Une occlusion intestinale postopératoire s’est produite chez 1 des 5 chevaux. Tous les chevaux ont survécu au moins 1 an après la chirurgie. Le temps de survie et l’incidence d’une occlusion intestinale postopératoire ont présenté une comparaison favorable avec les résultats publiés pour d’autres types de résection du petit intestin et d’anastomoses. Une AJI FTAFTT est une intervention chirurgicale viable pour corriger les lésions du jéjunum distal et de l’iléon proximal.(Traduit par Isabelle Vallières).
Publication Date: 2013-03-02 PubMed ID: 23450864PubMed Central: PMC3418786
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- Case Reports
- Journal Article
- Case Reports
- Clinical Findings
- Clinical Pathology
- Clinical Study
- Complications
- Disease Treatment
- Equine Diseases
- Equine Health
- Gastrointestinal Health
- Horses
- Intestinal Surgery
- Laparotomy
- Medical Records
- Outcome Assessment
- Post-Operative Period
- Surgery
- Survival Rate
- Veterinary Medicine
- Veterinary Procedure
- Veterinary Research
Summary
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The research looks into the results and potential complications of a specific surgical procedure on horses, known as a closed, one-stage, stapled, functional, end-to-end (COSFE) jejuno-ileal anastomosis. The procedure was carried out following the removal of a damaged portion of the small intestine. The study found that the surgery was successful in all five horses, with survival rates and complication levels in line with other small intestine procedures.
Research Methods
- The researchers conducted a review of medical records to identify horses that underwent the COSFE JIA procedure during an exploratory laparotomy, an abdominal surgery often performed to diagnose certain health conditions.
- Their goal was to find out the complications post-surgery and the final outcome.
Findings
- All five horses that were identified had undergone a successful COSFE JIA. They had a portion of their distal jejunum (the middle section of the small intestine) and proximal ileum (the last section of the small intestine) removed.
- Post-operative ileus, or disruption of the intestine’s ability to contract, occurred in one out of five horses.
- All the horses survived at least one year after the surgery.
- The survival rates and the incidence of post-operative ileus were found to be on par with the results from other types of small intestinal resection and anastomosis procedures previously published.
Conclusions
- The study concluded that a COSFE JIA is a viable surgical procedure to correct lesions or abnormalities in the distal jejunum and proximal ileum.
- This study suggests that it could be more widely used in veterinary practices to treat horses with compromised sections of the small intestine.
Cite This Article
APA
Anderson SL, Blackford JT, Kelmer SG.
(2013).
Clinical evaluation of a closed, one-stage, stapled, functional, end-to-end jejuno-ileal anastomosis in 5 horses.
Can Vet J, 53(9), 987-991.
Publication
Researcher Affiliations
- University of Tennessee, College of Veterinary Medicine, Department of Large Animal Clinical Sciences, Knoxville, Tennessee 37996, USA.
MeSH Terms
- Anastomosis, Surgical / instrumentation
- Anastomosis, Surgical / methods
- Anastomosis, Surgical / veterinary
- Animals
- Horse Diseases / mortality
- Horse Diseases / surgery
- Horses
- Intestinal Obstruction / mortality
- Intestinal Obstruction / surgery
- Intestinal Obstruction / veterinary
- Intestine, Small / pathology
- Intestine, Small / surgery
- Jejunoileal Bypass / methods
- Jejunoileal Bypass / veterinary
- Laparotomy / veterinary
- Male
- Postoperative Complications / epidemiology
- Postoperative Complications / veterinary
- Survival Analysis
- Treatment Outcome
References
This article includes 15 references
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