Incomplete Ileocecal Bypass for Ileal Pathology in Horses: 21 Cases (2012-2019).
Abstract: Incomplete ileocecal bypass can be performed in cases in which an ileal disfunction is suspected but resection of the diseased ileum is not necessary. Objective: To describe the clinical findings, the surgical technique, and the outcome of 21 cases of colic with ileal pathologies that underwent an incomplete ileocecal bypass. Methods: Historical, clinical, and surgical features of cases diagnosed with pathologies involving the ileum or the ileocecal valve that underwent ileocecal anastomosis without ileal resection were retrieved. Clinical (heart rate, duration of symptoms, presence of reflux, age, weight at arrival) and surgical (surgical pathology, duration of surgery, type of anastomosis) data were retrieved and analysed. Data on short term survival and postoperative complications (colic, post-operative reflux, incisional infection, fever), length of hospital stay, and long term follow up were also obtained. Results: A total of 21 horses met the criteria; 13 horses had ileal impaction (one with muscular hypertrophy), 5 horses had epiploic foramen entrapment, and 3 horses had a pedunculated lipoma. An incomplete ileocecal bypass was performed with a two-layer hand-sewn side-to-side technique in 19 cases and with a stapled side-to-side technique in 2 cases. Short term survival was 95.2%. At 12-months follow up, all horses but two were alive, and 13 of the 14 sport horses returned to their previous level of activity. Long term survival was 90.47%. Conclusions Incomplete ileocecal bypass may represent a valid surgical technique in case of ileocecal valve disfunction when ileum resection is not necessary; this technique may represent an alternative to extensive manipulation without subsequent recurrence of ileal impaction.
Publication Date: 2021-02-05 PubMed ID: 33562529PubMed Central: PMC7915807DOI: 10.3390/ani11020403Google Scholar: Lookup
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- Case Reports
- Case Reports
- Clinical Findings
- Clinical Pathology
- Clinical Study
- Colic
- Diagnosis
- Disease Diagnosis
- Disease Management
- Disease Treatment
- Equine Health
- Horses
- Hospitalization
- Intestinal Pathology
- Intestinal Surgery
- Pathology
- Post-Operative Period
- Surgery
- Veterinary Care
- Veterinary Medicine
- Veterinary Practice
- Veterinary Procedure
Summary
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This research article investigates the efficiency of an incomplete ileocecal bypass procedure for horses with ileal pathologies, aiming to describe the surgical technique, clinical findings, and outcomes of 21 cases. Data on short-term and long-term survival, postoperative complications, and hospital stay duration were analyzed, showing promising results for the procedure as an alternative to extensive manipulation with lesser recurrence of ileal impaction.
Objective and Methods
- With the primary goal to explore and describe the clinical details, surgical technique, and the result of 21 colic cases with ileal pathologies undergoing an incomplete ileocecal bypass, the researchers retrieved and analyzed historical, clinical, and surgical features of these cases.
- These features included specifics of the pathology, surgical duration, type of anastomosis, heart rate, duration of symptoms, presence of reflux, age, weight at arrival, and details related to short-term survival and post-operative complications like colic, reflux, incisional infection, fever, among others.
- Additional data on length of hospital stay and long-term follow-up was also collected for comprehensive analysis.
Findings and Results
- Out of the 21 horses that met the criteria for the research, 13 had ileal impaction (one with muscular hypertrophy), five encountered epiploic foramen entrapment, and three had a pedunculated lipoma.
- The surgical technique used was an incomplete ileocecal bypass, with a two-layer hand-sewn side-to-side technique used in 19 cases, and a stapled side-to-side technique applied in the other two.
- Short-term survival rates were quite high, with a 95.2% survival rate, while 12 months post-surgery, excluding two horses, the rest were still alive with 13 out of the 14 sport horses returning to their initial level of activity. The long-term survival rate was registered at 90.47%.
Conclusions
- The incomplete ileocecal bypass procedure emerged as a reliable surgical option when there’s ileocecal valve disfunction and resection of the ileum is not required.
- The authors conclude that this procedure provides a viable alternative to extensive manipulation, with a reduced likelihood of subsequent instances of ileal impaction.
Cite This Article
APA
Giusto G, Cerullo A, Labate F, Gandini M.
(2021).
Incomplete Ileocecal Bypass for Ileal Pathology in Horses: 21 Cases (2012-2019).
Animals (Basel), 11(2), 403.
https://doi.org/10.3390/ani11020403 Publication
Researcher Affiliations
- Department of Veterinary Sciences, University of Turin, Largo Paolo Braccini 2-5, 10095 Grugliasco (TO), Italy.
- Department of Veterinary Sciences, University of Turin, Largo Paolo Braccini 2-5, 10095 Grugliasco (TO), Italy.
- Department of Veterinary Sciences, University of Turin, Largo Paolo Braccini 2-5, 10095 Grugliasco (TO), Italy.
- Department of Veterinary Sciences, University of Turin, Largo Paolo Braccini 2-5, 10095 Grugliasco (TO), Italy.
Conflict of Interest Statement
The authors declare no conflict of interest.
References
This article includes 17 references
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Citations
This article has been cited 3 times.- Rockow M, Griffenhagen G, Landolt G, Hendrickson D, Pezzanite L. Current Antimicrobial Use in Horses Undergoing Exploratory Celiotomy: A Survey of Board-Certified Equine Specialists. Animals (Basel) 2023 Apr 22;13(9).
- 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).
- Matthews LB, Sanz M, Sellon DC. Long-term outcome after colic surgery: retrospective study of 106 horses in the USA (2014-2021). Front Vet Sci 2023;10:1235198.
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