Peer-reviewed veterinary case report
Clinical evaluation of a closed, one-stage, stapled, functional, end-to-end jejuno-ileal anastomosis in 5 horses.
- Journal:
- The Canadian veterinary journal = La revue veterinaire canadienne
- Year:
- 2012
- Authors:
- Anderson, Stacy L et al.
- Affiliation:
- University of Tennessee · United States
- Species:
- horse
Plain-English summary
This study looked at five horses that underwent a specific type of surgery called a closed, one-stage, stapled, functional, end-to-end jejuno-ileal anastomosis, which is used to reconnect parts of the small intestine after removing damaged sections. After the surgery, one horse experienced a temporary condition where the intestines didn't move properly, but all five horses survived for at least a year afterward. The results of this surgery were similar to other methods used for small intestine repairs. Overall, the study suggests that this surgical technique is a good option for treating issues in the distal jejunum and proximal ileum.
Abstract
This study describes the outcome and complications in horses that had a closed, one-stage, stapled, functional, end-to-end (COSFE) jejuno-ileal anastomosis (JIA) following resection of compromised small intestine. Medical records were reviewed to identify all horses that had a COSFE JIA performed during exploratory laparotomy and to determine post-operative complications and final outcome. All 5 horses that were identified had successful COSFE JIA with resection of various amounts of distal jejunum and proximal ileum. Post-operative ileus occurred in 1 of the 5 horses. All horses survived at least 1 year after surgery. The survival times and incidence of post-operative ileus compared favorably with published results for other types of small intestinal resection and anastomoses. A COSFE JIA is a viable surgical procedure to correct lesions of the distal jejunum and proximal ileum. This study describes the outcome and complications in horses that had a closed, one-stage, stapled, functional, end-to-end (COSFE) jejuno-ileal anastomosis (JIA) following resection of compromised small intestine. Medical records were reviewed to identify all horses that had a COSFE JIA performed during exploratory laparotomy and to determine post-operative complications and final outcome. All 5 horses that were identified had successful COSFE JIA with resection of various amounts of distal jejunum and proximal ileum. Post-operative ileus occurred in 1 of the 5 horses. All horses survived at least 1 year after surgery. The survival times and incidence of post-operative ileus compared favorably with published results for other types of small intestinal resection and anastomoses. A COSFE JIA is a viable surgical procedure to correct lesions of the distal jejunum and proximal ileum.
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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/23450864/