Clinical assessment and outcome of three techniques for jejunal resection and anastomosis in horses: 59 cases (1989-2000).

TitleClinical assessment and outcome of three techniques for jejunal resection and anastomosis in horses: 59 cases (1989-2000).
Publication TypeJournal Article
Year of Publication2002
AuthorsSemevolos SA, Ducharme NG, Hackett RP
JournalJournal of the American Veterinary Medical Association
Volume220
Issue2
Pagination215-8
Date Published2002 Jan 15
ISSN0003-1488
KeywordsAnastomosis, Surgical, Animals, Female, Horses, Jejunum, Male, Postoperative Complications, Prognosis, Retrospective Studies, Survival Rate, Suture Techniques, Treatment Outcome
Abstract

OBJECTIVE: To compare postoperative complications, short- and long-term survival, and surgical times for hand-sewn end-to-end (EE), stapled functional end-to-end (FEE), and stapled side-to-side (SS) anastomotic techniques for jejunal resection in horses.

DESIGN: Retrospective study.

ANIMALS: 59 horses.

PROCEDURE: Medical records were reviewed to obtain signalment, diagnosis, treatment, and outcome for horses that underwent jejunojejunostomy in our hospital. Only horses that recovered from anesthesia were included in the study.

RESULTS: Among the 59 horses, there were 33 EE, 15 FEE, and 11 SS anastomoses. No difference was found in duration of surgery among the 3 techniques. The most common postoperative complications were colic episodes (56%), ileus (53%), diarrhea (20%), and adhesions (15%). Horses with SS anastomosis had a significantly shorter duration of postoperative ileus than the EE group did. No significant difference in duration of postoperative ileus was found among the other groups. No difference was found among the 3 anastomotic techniques in regard to survival rate at the time of discharge, 6 months after surgery, or 1 year after surgery. Overall survival rates after jejunal anastomosis were 88% at the time of discharge, 65% at 6 months after surgery, and 57% at > or = 1 year after surgery.

CONCLUSIONS AND CLINICAL RELEVANCE: The hand-sewn EE, stapled FEE, and stapled SS anastomotic techniques should be considered equivalent methods for small intestinal anastomosis in the horse. However, the stapled SS technique may be preferred because of possible decreased duration of postoperative ileus.

Alternate JournalJ. Am. Vet. Med. Assoc.