Differential survival in horses requiring end-to-end jejunojejunal anastomosis compared to those requiring side-to-side jejunocaecal anastomosis.
Abstract: Horses requiring different methods of intestinal anastomosis during equine colic surgery may have differences in mortality and morbidity. Objective: Horses requiring side-to-side jejunocaecal anastomosis have a higher mortality and morbidity rate than those requiring end-to-end jejunojejunal anastomosis. Morbidity and mortality of handsewn vs. stapled side-to-side jejunocaecal anastomoses are not significantly different. Methods: A prospective, nonrandomised, observational study was conducted. Clinical and surgical details were recorded during hospitalisation and survival data acquired by periodic telephone questionnaire. Differences in mortality and morbidity rate were evaluated by survival analysis. Results: A total of 184 horses underwent end-to-end jejunojejunal anastomosis and 178 underwent side-to-side jejunocaecal anastomosis. Horses with a jejunocaecal anastomosis had a significantly higher mortality rate. The incidence of post operative colic in horses requiring side-to-side jejunocaecal anastomoses was greater than those requiring end-to-end jejunojejunal anastomoses. Within the group undergoing side-to-side jejunocaecal anastomosis there was no evidence of differential survival between horses with handsewn vs. stapled anastomoses. Conclusions: Mortality rate is higher in horses that have required side-to-side jejunocaecal anastomosis than in those that needed end-to-end jejunojejunal anastomosis; and post operative colic is more common after side-to-side jejunocaecal anastomosis. No difference in mortality was found between horses with handsewn and stapled side-to-side jejunocaecal anastomoses. Conclusions: Surgeons should be aware of the increased mortality and morbidity in horses requiring side-to-side jejunocaecal anastomosis. Our finding of no difference in mortality between handsewn and stapled side-to-side jejunocaecal anastomoses justifies surgeons exercising personal preference in their selection of anastomosis method.
Publication Date: 2007-03-24 PubMed ID: 17378448DOI: 10.2746/042516407x171354Google Scholar: Lookup
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- Comparative Study
- Journal Article
- Research Support
- Non-U.S. Gov't
- Clinical Findings
- Clinical Pathology
- Clinical Study
- Colic
- Comparative Study
- Diagnosis
- Disease Diagnosis
- Disease Treatment
- Equine Health
- Horses
- Hospitalization
- Intestinal Surgery
- Mortality
- Observational Study
- Post-Operative Period
- Surgery
- Survival Rate
- Veterinary Care
- Veterinary Medicine
- Veterinary Practice
- Veterinary Procedure
Summary
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The study found differences in survival rates in horses who had undergone two distinct types of intestinal surgeries. Horses that had side-to-side jejunocaecal anastomosis presented a higher mortality and morbidity rate compared to those that received end-to-end jejunojejunal anastomosis.
Objective and Methods of the Research
- The goal of the study was to evaluate the differences in mortality and morbidity between two types of intestinal surgical procedures in horses: side-to-side jejunocaecal anastomosis and end-to-end jejunojejunal anastomosis.
- The research was a nonrandomized, observational study where the clinical and surgical details of horses were recorded during their hospitalization. The study then followed up with survival data acquired by periodic telephone questionnaires.
- The differences in mortality and morbidity between the two types of surgeries were evaluated using survival analysis.
Findings of the Study
- The study involved a total of 362 horses, 184 of which underwent end-to-end jejunojejunal anastomosis, and 178 that had side-to-side jejunocaecal anastomosis.
- According to the results, horses that underwent a side-to-side jejunocaecal anastomosis procedure had a significantly higher mortality rate compared to those that had end-to-end jejunojejunal anastomosis. They were also more prone to postoperative colic.
- Surprisingly, there was no significant difference in terms of survival rates between horses that had handsewn and stapled side-to-side jejunocaecal anastomosis. This suggests that the choice of surgical technique does not affect the overall survival rate.
Conclusions of the Study
- Based on these findings, surgeons should be aware of the higher risks associated with choosing side-to-side jejunocaecal anastomosis over end-to-end jejunojejunal anastomosis.
- Regardless of whether the method is handsewn or stapled, the mortality rate for horses undergoing side-to-side jejunocaecal anastomosis remains high.
- Consequently, the choice of the method can be according to the surgeon’s personal preference, as it does not significantly affect the survival rate.
Cite This Article
APA
Proudman CJ, Edwards GB, Barnes J.
(2007).
Differential survival in horses requiring end-to-end jejunojejunal anastomosis compared to those requiring side-to-side jejunocaecal anastomosis.
Equine Vet J, 39(2), 181-185.
https://doi.org/10.2746/042516407x171354 Publication
Researcher Affiliations
- Equine Division, Faculty of Veterinary Science, University of Liverpool, 'Leahurst', Neston, Cheshire CH64 7TE, UK.
MeSH Terms
- Anastomosis, Surgical / methods
- Anastomosis, Surgical / veterinary
- Animals
- Cecum / surgery
- Colic / mortality
- Colic / surgery
- Colic / veterinary
- Female
- Horse Diseases / mortality
- Horse Diseases / surgery
- Horses
- Jejunum / surgery
- Male
- Postoperative Complications / epidemiology
- Postoperative Complications / veterinary
- Prospective Studies
- Survival Analysis
- Sutures / veterinary
- Treatment Outcome
Citations
This article has been cited 9 times.- Ciammaichella L, Foglia A, Del Magno S, Cola V, Zanardi S, Tinto D, Capitani O, Joechler M, Pisoni L. Retrospective evaluation of a hand-sewn side-to-side intestinal anastomosis technique in dogs and cats. Open Vet J 2023 Mar;13(3):278-287.
- Spadari A, Gialletti R, Gandini M, Valle E, Cerullo A, Cavallini D, Bertoletti A, Rinnovati R, Forni G, Scilimati N, Giusto G. Short-Term Survival and Postoperative Complications Rates in Horses Undergoing Colic Surgery: A Multicentre Study. Animals (Basel) 2023 Mar 20;13(6).
- Veerasammy B, Gonzalez G, Báez-Ramos P, Schaaf CR, Stewart AS, Ludwig EK, McKinney-Aguirre C, Freund J, Robertson J, Gonzalez LM. Changes in equine intestinal stem/progenitor cell number at resection margins in cases of small intestinal strangulation. Equine Vet J 2023 Jan 30;.
- 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.
- Mahne AT, Janse van Rensburg D, Hewetson M. Ileal hypertrophy and associated true diverticulum as a cause of colic in a horse. J S Afr Vet Assoc 2017 May 26;88(0):e1-e5.
- Salem SE, Proudman CJ, Archer DC. Has intravenous lidocaine improved the outcome in horses following surgical management of small intestinal lesions in a UK hospital population?. BMC Vet Res 2016 Jul 27;12(1):157.
- Giusto G, Iotti B, Sammartano F, Valazza A, Gandini M. Ex Vivo Anatomical Characterization of Handsewn or Stapled Jejunocecal Anastomosis in Horses by Computed Tomography Scan. J Vet Med 2014;2014:234738.
- Gandini M, Giusto G, Iotti B, Valazza A, Sammartano F. In vitro description of a new technique for stapled side-to-side jejunocecal anastomosis in horses and CT scan anatomical comparison with other techniques. BMC Vet Res 2014;10 Suppl 1(Suppl 1):S9.
- Anderson SL, Blackford JT, Kelmer SG. Clinical evaluation of a closed, one-stage, stapled, functional, end-to-end jejuno-ileal anastomosis in 5 horses. Can Vet J 2012 Sep;53(9):987-91.
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