title: Modified colostomy technique for colonic atresia in calves.
abstract: OBJECTIVE
  To report a modified colostomy technique for permanent fecal diversion in calves with colonic atresia.
  
  
  METHODS
  Prospective study.
  
  
  METHODS
  Calves (n=19) with colonic atresia.
  
  
  METHODS
  Clinical findings, white blood cell counts, radiologic, ultrasonographic, and intraoperative findings were recorded. Calves were randomly divided into 2 groups: group 1 (n=9) had conventional colostomy and group 2 (n=10) had a modified colostomy. Technique efficacy was evaluated by postoperative observation, owner satisfaction, and calf survival.
  
  
  RESULTS
  Fifteen (79%) calves were discharged from the hospital; 4 (21%) group 1 calves died within 24 hours after surgery. Two (40%) group 1 calves died 18 and 30 days after surgery and 5 (50%) group 2 calves died 2-60 days after surgery. Eight calves reached slaughter weight (120+/-10 kg); 5 group 2 calves grew normally but the 3 group 1 calves had lower weight gain. Owners of the calves with conventional colostomy reported that the evacuation of feces was continuous whereas owners of calves with the modified colostomy reported that feces were released through the stoma in intervals.
  
  
  CONCLUSIONS
  Modification of conventional colostomy by forming an hourglass shaped stoma lessens fecal incontinence but there was no difference in survival rate.
  
  
  CONCLUSIONS
  Modified colostomy was considered advantageous because of intermittent fecal discharge from the stoma compared with continuous fecal release in conventional colostomy. The modified technique seemingly has a beneficial effect on growth of the calf.
authors.affiliation: Faculty of Veterinary Medicine, Uludag University, Bursa, Turkey. goksenc@uludag.edu.tr
authors.forename: Goksen
authors.initials: G
authors.lastname: Cecen
authors.forename: Hakan
authors.initials: H
authors.lastname: Salci
authors.forename: Gulsum Ulke
authors.initials: GU
authors.lastname: Caliskan
authors.forename: Nureddin
authors.initials: N
authors.lastname: Celimli
authors.forename: Deniz
authors.initials: D
authors.lastname: Seyrek-Intas
authors.forename: Osman Sacit
authors.initials: OS
authors.lastname: Gorgul
mesh_terms: D000818:Animals; D000831:Animals, Newborn / Q000254:growth & development; D002417:Cattle; D002418:Cattle Diseases / Q000401:mortality / Q000601:surgery*; D003106:Colon / Q000002:abnormalities / Q000601:surgery; D003108:Colonic Diseases / Q000401:mortality / Q000601:surgery / Q000662:veterinary*; D003125:Colostomy / Q000379:methods / Q000662:veterinary*; D005242:Fecal Incontinence / Q000517:prevention & control / Q000662:veterinary; D007409:Intestinal Atresia / Q000401:mortality / Q000601:surgery / Q000662:veterinary*; D008297:Male; D011446:Prospective Studies; D011897:Random Allocation; D016019:Survival Analysis; D016896:Treatment Outcome