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Veterinary surgery : VS2025; 55(2); 468-475; doi: 10.1111/vsu.70019

Modified stapled jejunocecostomy in horses.

Abstract: To develop a modified stapled (MS) jejunocecostomy (JC) in healthy horses. Methods: In vivo experimental study. Methods: Six healthy adult horses underwent ventral midline celiotomy, a jejunal resection, and an MS. Methods: Time to complete anastomosis and anastomotic length at necropsy were recorded. Horses were assessed by physical examination every 6 h for 5 days after surgery, then once daily until euthanasia at 7 days. A group of seven horses that had a stapled side-to-side JC and were euthanized 28 days postoperatively was used as an historical control (SS). Results: All MS horses recovered well, although one developed transient mild colic and another had a brief period of pyrexia and diarrhea. Postoperative heart rates returned to preoperative values shortly after surgery. At necropsy, the MS anastomoses appeared grossly to be healing well and formed a wide triangulated stoma. Times to complete the anastomosis (p = .49) and lumen size at necropsy (p = .32) were similar for both groups. Conclusions: The MS method was performed with ease and appeared to function effectively. It produced a triangulated stoma that could facilitate flow and reduce the risk of impaction. Conclusions: This study supports the use of MS for JC in horses. Although the study size was small, the results compared favorably with historical data for a SS for JC in healthy horses. The elimination of oversewn ends simplifies the MS technique and allows a single application of the stapler, minimizing cost.
Publication Date: 2025-10-02 PubMed ID: 41036656DOI: 10.1111/vsu.70019Google Scholar: Lookup
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  • Journal Article

Cite This Article

APA
Freeman DE, Smith B, Bauck AG, Denagamage T, Moyer EK, Chanutin S. (2025). Modified stapled jejunocecostomy in horses. Vet Surg, 55(2), 468-475. https://doi.org/10.1111/vsu.70019

Publication

ISSN: 1532-950X
NlmUniqueID: 8113214
Country: United States
Language: English
Volume: 55
Issue: 2
Pages: 468-475

Researcher Affiliations

Freeman, David E
  • Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA.
Smith, Bryana
  • Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA.
Bauck, Anje G
  • Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA.
Denagamage, Thomas
  • Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA.
Moyer, Elizabeth K
  • Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA.
Chanutin, Sierra
  • Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA.

MeSH Terms

  • Animals
  • Horses / surgery
  • Surgical Stapling / veterinary
  • Surgical Stapling / methods
  • Anastomosis, Surgical / veterinary
  • Anastomosis, Surgical / methods
  • Male
  • Female
  • Jejunostomy / veterinary
  • Jejunostomy / methods
  • Jejunum / surgery

Grant Funding

  • Arden and Claudia Sims

References

This article includes 25 references
  1. Rudnick MJ, Denagamage TN, Freeman DE. Effects of age, disease and anastomosis on short‐ and long‐term survival after surgical correction of small intestinal strangulating diseases in 89 horses. Equine Vet J. 2022;54(6):1031‐1038.
  2. Röcken M, Ross MW. Vergleichsstudie über die Jejunocecostomie als End‐zu‐Seitanastomose und Seit‐zu‐Seitanastomose. Pferdheilkunde. 1994;10:311‐315.
  3. Rendle DI, Woodt JL, Summerhays GE, Walmsley JP, Boswell JC, Phillips TJ. End‐to‐end jejuno‐ileal anastomosis following resection of strangulated small intestine in horses: a comparative study. Equine Vet J. 2005;37(4):356‐359.
  4. Proudman CJ, Edwards GB, Barnes J, French NR. Factors affecting long‐term survival of horses recovering from surgery of the small intestine. Equine Vet J. 2005;37(4):360‐365.
  5. Garcia‐Seco E, Wilson DA, Kramer J, et al. Prevalence and risk factors associated with outcome of surgical removal of pedunculated lipomas in horses: 102 cases (1987‐2002). J Am Vet Med Assoc. 2005;226(9):1529‐1537.
  6. Morton AJ, Blikslager AT. Surgical and postoperative factors influencing short‐term survival of horses following small intestinal resection: 92 cases (1994‐2001). Equine Vet J. 2002;34(5):450‐454.
  7. Espinosa P, Le Jeune SS, Cenani A, Kass PH, Brosnan RJ. Investigation of perioperative and anesthetic variables affecting short‐term survival of horses with small intestinal strangulating lesions. Vet Surg. 2017;46(3):345‐353.
  8. Stewart S, Southwood LL, Aceto HW. Comparison of short‐ and long‐term complications and survival following jejunojejunostomy, jejunoileostomy and jejunocaecostomy in 112 horses: 2005‐2010. Equine Vet J. 2014;46(3):333‐338.
  9. van Bergen T, Haspeslagh M, Wiemer P, Swagemakers M, van Loon G, Martens A. Surgical treatment of epiploic foramen entrapment in 142 horses (2008‐2016). Vet Surg. 2019;48(3):291‐298.
  10. Freeman DE, Schaeffer DJ. A comparison of handsewn versus stapled jejunocecostomy in horses – complications and long‐term survival: 32 cases (1994–2005). J Am Vet Med Assoc. 2010;237:1060‐1067.
  11. Donawick WJ, Christie BA, Stewart JV. Resection of diseased ileum in the horse. J Am Vet Med Assoc. 1971;159(9):1146‐1149.
  12. Mason TA, Johnston DE, Wallace CE, Christie BA. Laparotomy in equine colic – a report of thirteen clinical cases. Aust Vet J. 1970;46(8):349‐355.
  13. Brown JA, Holcombe SJ, Southwood LL, Byron CR, Embertson RM, Hauptmann JG. End‐to‐side versus side‐to‐side jejunocecostomy in horses: a retrospective analysis of 150 cases. Vet Surg. 2015;44(4):527‐533.
  14. Blackwell RB. Jejunocaecostomy in the horse: A comparison of two techniques. Proceedings of the Equine Colic Research Symposium; 1982:288‐289.
  15. Moyer EK, Bauck AG, Denagamage T, Freeman DE. Comparison of end‐to‐side versus side‐to‐side jejunocecostomy in horses. Vet Surg. 2025;54(2):410‐419. doi:10.1111/vsu.14200
  16. Chanutin S, Bauck AG, Roberts JF, Denagamage TN, Freeman DE. Comparison of two techniques to blind end jejunum and ileum for jejunocaecostomy in horses. Equine Vet J. 2025. doi:10.1111/evj.14466 Epub ahead of print. PMID: 39763386.
  17. Peterson FB, Stewart JV. Experimental ileocecal anastomosis in the horse. Eq Med Surg. 1978;2:461‐464.
  18. Hocking MP, Carlson RG, Courington KR, Bland KI. Altered motility and bacterial flora after functional end‐to‐end anastomosis. Surgery. 1990;108:384‐392.
  19. Huskamp B. Diagnosis and treatment of acute abdominal conditions in the horse; various types and frequency as seen at the animal hospital in Hochmoor. Proceedings of the Equine Colic Research Symposium; 1982:61‐272.
  20. Freeman DE, Schaeffer DJ. Clinical comparison between a continuous Lembert pattern wrapped in a carboxymethylcellulose and hyaluronate membrane with an interrupted Lembert pattern for one‐layer jejunojejunostomy in horses. Equine Vet J. 2011;43:708‐713.
  21. Seitz‐Cherner E, Bauck AG, Denagamage T, Freeman DE. Ex vivo and in vivo evaluation of a modified interrupted Lembert pattern for small intestinal anastomoses in horses. Vet Surg. 2022;52:407‐415. doi:10.1111/vsu.13881
  22. Mendez‐Angulo JL, Ernst NS, Mudge MC. Clinical assessment and outcome of a single‐layer technique for anastomosis of the small intestine in horses. Vet Rec. 2010;167:652‐655.
  23. Archer RM, Parsons JC, Lindsay WA, et al. A comparison of enterotomies through the antimesenteric band and the sacculation of the small (descending) colon of ponies. Equine Vet J. 1988;20:406‐413.
  24. Beard WL, Robertson JT, Getzy DM. Enterotomy technique in the descending colon of the horse. Effect of location and suture pattern. Vet Surg. 1989;18:135‐140.
  25. Gandini M. Handsewn semiclosed single‐layer jejunocecal side‐to‐side anastomosis in the horse. Vet Surg. 2010;39:771‐775.

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