The Veterinary clinics of North America. Equine practice1997; 13(2); 261-301; doi: 10.1016/s0749-0739(17)30240-7

Surgery of the small intestine.

Abstract: Although earlier reports describe a poor prognosis for small intestinal surgery in the horse, there is growing evidence that the short-term survival rate can exceed 80%. In addition to advancements in surgery and aftercare, early referral contributes considerably to the improved prognosis. Surgical procedures that restore anatomic and physiologic continuity to close to normal can minimize postoperative complications. Jejunojejunostomy carries a better prognosis than jejunocecostomy, probably because the latter involves anastomosis between two intestinal segments with dissimilar functions. Careful technique can reduce the prevalence of complications, such as postoperative ileus and serosal adhesions.
Publication Date: 1997-08-01 PubMed ID: 9290184DOI: 10.1016/s0749-0739(17)30240-7Google Scholar: Lookup
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Summary

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The research article reveals that recent improvements in surgical procedures and aftercare for horses have led to an increase in short-term survival rates for small intestinal surgery, which can now exceed 80%. The article also asserts that early referral makes a significant contribution to better prognosis.

Research Background

  • The paper begins by referencing earlier reports which depicted a poor prognosis for small intestinal surgery in horses.
  • However, it quickly establishes that advancements in surgical processes and aftercare have significantly improved short-term survival rates, with current rates surpassing 80%.

Role of Early Referral

  • The research emphasizes the importance of early referral for small intestinal surgery in horses.
  • The report suggests that an early referral significantly contributes to a more favorable prognosis.

Surgical Procedures

  • The study advocates for surgical procedures that restore anatomic and physiologic continuity as close to normal as possible. These procedures can lower postoperative complications.
  • The paper contrasts two surgical procedures: jejunojejunostomy (anastomosis between two parts of the jejunum) and jejunocecostomy (anastomosis between the jejunum and the cecum). It shows that the former carries a better prognosis.
  • The superiority of jejunojejunostomy is likely because jejunocecostomy involves anastomosis between two intestinal segments with dissimilar functions.

Postoperative Complications and Techniques

  • Postoperative complications such as postoperative ileus (a type of bowel paralysis) and serosal adhesions (the sticking together of tissues) are significant considerations in small intestinal surgery for horses.
  • However, the research stipulates that careful techniques can decrease the frequency of these complications.

Cite This Article

APA
Freeman DE. (1997). Surgery of the small intestine. Vet Clin North Am Equine Pract, 13(2), 261-301. https://doi.org/10.1016/s0749-0739(17)30240-7

Publication

ISSN: 0749-0739
NlmUniqueID: 8511904
Country: United States
Language: English
Volume: 13
Issue: 2
Pages: 261-301

Researcher Affiliations

Freeman, D E
  • University of Illinois, College of Veterinary Medicine, Urbana, USA.

MeSH Terms

  • Anastomosis, Surgical / veterinary
  • Animals
  • Hernia, Diaphragmatic / surgery
  • Hernia, Diaphragmatic / veterinary
  • Hernia, Inguinal / surgery
  • Hernia, Inguinal / veterinary
  • Horse Diseases / surgery
  • Horses
  • Intestinal Diseases / surgery
  • Intestinal Diseases / veterinary
  • Intestine, Small / physiopathology
  • Intestine, Small / surgery
  • Intussusception / surgery
  • Intussusception / veterinary

Citations

This article has been cited 9 times.
  1. Liu C, Wang Y, Zhao AR, Hu FA, Fan Q, Han G, Ding G, Fu T, Geng L, Yin H. An alternative asymmetric figure-of-eight single-layer suture technique for bowel anastomosis in an in vitro porcine model.. Front Surg 2022;9:896542.
    doi: 10.3389/fsurg.2022.896542pubmed: 36248362google scholar: lookup
  2. 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.
    pubmed: 29302105
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    doi: 10.1155/2014/234738pubmed: 26464922google scholar: lookup
  4. 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.
    doi: 10.1186/1746-6148-10-S1-S9pubmed: 25238113google scholar: lookup
  5. 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.
    pubmed: 23450864
  6. Rosser JM, Brounts S, Livesey M, Wiedmeyer K. Comparison of single layer staple closure versus double layer hand-sewn closure for equine pelvic flexure enterotomy.. Can Vet J 2012 Jun;53(6):665-9.
    pubmed: 23204588
  7. Okamura K, Sasaki N, Kikuchi T, Murata A, Lee I, Yamada H, Inokuma H. Effects of mosapride on motility of the small intestine and caecum in normal horses after jejunocaecostomy.. J Vet Sci 2009 Jun;10(2):157-60.
    doi: 10.4142/jvs.2009.10.2.157pubmed: 19461212google scholar: lookup
  8. Cruz AM, Cotu00e9 N, McDonell WN, Geor RJ, Wilson BA, Monteith G, Li R. Postoperative effects of anesthesia and surgery on resting energy expenditure in horses as measured by indirect calorimetry.. Can J Vet Res 2006 Oct;70(4):257-62.
    pubmed: 17042377
  9. Thomas HL, Zaruby JF, Smith CL, Livesey MA. Postcastration eventration in 18 horses: the prognostic indicators for long-term survival (1985-1995).. Can Vet J 1998 Dec;39(12):764-8.
    pubmed: 9861501