In:
Journal of the American Veterinary Medical Association, American Veterinary Medical Association (AVMA), Vol. 221, No. 4 ( 2002-08-01), p. 541-545
Abstract:
Objective —To report the postoperative outcome in
horses undergoing jejunoileal anastomosis performed with a 2-layer simple continuous technique. Design —Retrospective study. Animals —7 horses. Procedure —Information regarding signalment, clinical
signs, findings at surgery, and postoperative complications was obtained from medical records of horses
that underwent exploratory ventral midline celiotomy, small intestinal resection, and jejunoileal anastomosis
to correct various small intestinal strangulating lesions. Follow-up information was obtained via telephone
conversations with owners or trainers. Results —Six males and 1 female of various breeds
aged 10 months to 27 years and weighing 312 to 785 kg (686.4 to 1,727 lb) were included. The most common
complications were mild to moderate tachycardia and mild to moderate signs of abdominal pain. Two horses
developed incisional infections and soft, fluctuant swelling at the incision site following resolution of the
infection. Follow-up time ranged from 7 to 17 months after surgery. Owners reported no further colic episodes
and no diet change necessary following surgery. All horses had returned to their intended level of use. Conclusions and Clinical Relevance —Advantages to
the jejunoileal technique include maintaining the normal ileocecal valve and a postoperative recovery period
similar to that described following other small intestinal anastomoses. Jejunoileal anastomosis is a
viable alternative to ileal bypass. This technique appears to result in a postoperative complication rate
similar to that reported following jejunojejunostomy procedures. ( J Am Vet Med Assoc 2002;221:541–545)
Type of Medium:
Online Resource
ISSN:
0003-1488
DOI:
10.2460/javma.2002.221.541
Language:
Unknown
Publisher:
American Veterinary Medical Association (AVMA)
Publication Date:
2002
detail.hit.zdb_id:
2904887-4
SSG:
22
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