Ileocolostomy. A technique for surgical management of equine cecal impaction.
Abstract: Several surgical alternatives have been described for the management of cecal impaction in the horse, but none has met with consistently successful results. This study was done to evaluate a surgical bypass of the cecum by anastomosis of the ileum to the right ventral colon (ileocolostomy). A ventral midline celiotomy was performed on nine adult ponies (155-350 kg) and a mechanically stapled 10 cm side-to-side ileocolostomy was created. In five ponies a complete cecal bypass (CCB) was created by transecting the ileum distal to the anastomosis. In the other four, an incomplete cecal bypass (ICB) was created with no interruption of the ileum. Six horses with clinical cecal impaction also underwent cecal bypass procedures. Five had a CCB and one had an ICB. All the ponies maintained body weight, had no change in consistency of the feces and had no abdominal pain during the 6 month observation period. At necropsy, the lengths of the lateral cecal band, lateral free band of the colon, and the diameter of the anastomotic stoma were compared to measurements made at surgery. The lateral cecal band length decreased significantly more in the CCB ponies than in the ICB ponies (p = 0.008). The anastomotic stoma diameter was significantly larger in the ICB group than in the CCB group (p = 0.032). Five of the six clinical cases recovered and returned to their previous activity. CCB by an ileocolostomy resulted in removal of the cecum from the functional flow of ingesta without complication in the ponies, and was successful in five clinical cases of cecal impaction.
Publication Date: 1987-11-01 PubMed ID: 3507180DOI: 10.1111/j.1532-950x.1987.tb00986.xGoogle Scholar: Lookup
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- Journal Article
- Research Support
- Non-U.S. Gov't
Summary
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This research paper evaluates the efficacy of a surgical procedure known as ileocolostomy, intended to manage cecal impaction in horses. The study finds that this intervention can effectively bypass the cecum without causing complications and was successful in many of the clinical cases they examined.
Objective and Methodology
- The objective of the study was to appraise the effectiveness and potential complications of a surgical procedure called ileocolostomy as a treatment for cecal impaction in horses.
- This was done by creating a bypass of the horse’s cecum, which is a part of the digestive system. This was achieved by connecting the ileum to the right ventral colon, also known as anastomosis.
- The procedure was tested on nine adult ponies. Of these, five were given a complete cecal bypass (CCB, i.e., the ileum distal to the anastomosis was cut), while the remaining four were given an incomplete cecal bypass (ICB, where the ileum was left intact).
- In addition to the experimental conditions, six horses diagnosed with cecal impaction were also subjected to this procedure.
Findings and Results
- Post-procedure, the nine ponies maintained their body weight, their feces remained consistent and they showed no signs of abdominal pain over six months.
- Various anatomical measurements were compared before and after the procedure. It was found that the length of the lateral cecal band, a structure within the horse’s cecum, decreased significantly more in the ponies that underwent the CCB procedure as compared to those that underwent ICB.
- In addition, the diameter of the anastomotic stoma (the resulting opening after anastomosis) was significantly larger in the ICB group than in the CCB group.
- Of the six clinical cases who were also subjected to the procedure, five recovered and returned to their previous activities, suggesting that the procedure was effective.
Conclusion
- The ileocolostomy procedure bypassed the cecum without causing complications in the ponies.
- The procedure was successful in five out of six clinical cases of cecal impaction.
- It offers a potential resolution for horses suffering from cecal impaction with the additional benefits of maintaining bodily functions and ensuring a return to previous activity levels.
Cite This Article
APA
Craig DR, Pankowski RL, Car BD, Hackett RP, Erb HN.
(1987).
Ileocolostomy. A technique for surgical management of equine cecal impaction.
Vet Surg, 16(6), 451-455.
https://doi.org/10.1111/j.1532-950x.1987.tb00986.x Publication
Researcher Affiliations
- New York State College of Veterinary Medicine, Cornell University, Ithaca 14853.
MeSH Terms
- Anastomosis, Surgical / veterinary
- Animals
- Cecal Diseases / surgery
- Cecal Diseases / veterinary
- Colon / surgery
- Horse Diseases / surgery
- Horses
- Ileum / surgery
- Intestinal Obstruction / surgery
- Intestinal Obstruction / veterinary
Citations
This article has been cited 4 times.- Nieto JE, Yamout S, Dechant JE. Sinusitis associated with nasogastric intubation in 3 horses.. Can Vet J 2014 Jun;55(6):554-8.
- Tabar JJ, Cruz AM. Cecal rupture in foals--7 cases (1996-2006).. Can Vet J 2009 Jan;50(1):65-70.
- Klohnen A, Wilson DG, Cooley AJ. Cecal perforation and communication with the retroperitoneal space after cecal impaction in a thoroughbred gelding.. Can Vet J 1996 Nov;37(11):685-7.
- Desrochers A, St-Jean G. Cecal impaction in a cow.. Can Vet J 1995 Jul;36(7):430-1.
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