title: Results of operative treatment of equine colic with special reference to surgery of the ileum.
abstract: This retrospective study presents the results of surgical treatment of obstructive colic in horses operated in the last decade (1976-1985). The overall short-term recovery rate (i.e. discharged from hospital) was 51% of cases presented for surgery, and 68% of cases which were considered to be amenable to surgical therapy. For long-term results (6 months-8 years follow up) these percentages must be reduced by about 15% due to mortality after discharge. Special attention has been given to surgery of the ileum, which is often involved in strangulation or obturation, and accounts for about 26% of gastrointestinal surgical disorders. The long-term recovery rate of ileal surgery was 54.3%, but ileocaecal intussusception and jejunocaecostomy with resection have a much poorer prognosis. The results of this study indicate that resection of the ileum should be avoided unless necrosis is present or threatening. The alternative is creation of a shunt between (distal) jejunum and caecum, thus bypassing the ileum and ileocaecal junction and preserving the original anatomical relationships.
authors: Department of General and Large Animal Surgery, Faculty of Veterinary Medicine, State University of Utrecht, The Netherlands.
authors: A W
authors: AW
authors: Kersjes
authors: G E
authors: GE
authors: Bras
authors: F
authors: F
authors: Németh
authors: M A
authors: MA
authors: van der Velden
authors: E C
authors: EC
authors: Firth
mesh_terms: D000818:Animals; D003085:Colic / Q000601:surgery / Q000662:veterinary*; D005260:Female; D006734:Horse Diseases / Q000601:surgery*; D006736:Horses; D007077:Ileal Diseases / Q000601:surgery / Q000662:veterinary*; D007415:Intestinal Obstruction / Q000601:surgery / Q000662:veterinary*; D007579:Jejunal Diseases / Q000601:surgery / Q000662:veterinary; D008297:Male; D009426:Netherlands; D012189:Retrospective Studies