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  • Title: Clinical evaluation of a closed, one-stage, stapled, functional, end-to-end jejuno-ileal anastomosis in 5 horses.
    Author: Anderson SL, Blackford JT, Kelmer SG.
    Journal: Can Vet J; 2012 Sep; 53(9):987-91. PubMed ID: 23450864.
    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. RésuméÉvaluation clinique d’une anastomose jéjuno-iléale fermée, en un temps, agrafée, fonctionnelle et termino-terminale chez 5 chevaux. Cette étude décrit le résultat et les complications d’une anastomose jéjuno-iléale (AJI) fermée, en un temps, agrafée, fonctionnelle et termino-terminale (FTAFTT) chez des chevaux après la résection d’un petit intestin compromis. Les dossiers médicaux ont été examinés pour identifier tous les chevaux qui avaient subi une AJI FTAFTT durant une laparotomie exploratoire et déterminer les complications postopératoires et le résultat final. Les 5 chevaux qui ont été identifiés ont tous subi une AJI FTAFTT réussie avec résection de diverses quantités du jéjunum distal et de l’iléon proximal. Une occlusion intestinale postopératoire s’est produite chez 1 des 5 chevaux. Tous les chevaux ont survécu au moins 1 an après la chirurgie. Le temps de survie et l’incidence d’une occlusion intestinale postopératoire ont présenté une comparaison favorable avec les résultats publiés pour d’autres types de résection du petit intestin et d’anastomoses. Une AJI FTAFTT est une intervention chirurgicale viable pour corriger les lésions du jéjunum distal et de l’iléon proximal.(Traduit par Isabelle Vallières).
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