title: Clinical evaluation of a closed, one-stage, stapled, functional, end-to-end jejuno-ileal anastomosis in 5 horses.
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.
authors: University of Tennessee, College of Veterinary Medicine, Department of Large Animal Clinical Sciences, Knoxville, Tennessee 37996, USA.
authors: Stacy L
authors: SL
authors: Anderson
authors: James T
authors: JT
authors: Blackford
authors: S Gal
authors: SG
authors: Kelmer
mesh_terms: D000714:Anastomosis, Surgical / Q000295:instrumentation / Q000379:methods / Q000662:veterinary*; D000818:Animals; D006734:Horse Diseases / Q000401:mortality / Q000601:surgery*; D006736:Horses; D007415:Intestinal Obstruction / Q000401:mortality / Q000601:surgery / Q000662:veterinary; D007421:Intestine, Small / Q000473:pathology / Q000601:surgery; D007581:Jejunoileal Bypass / Q000379:methods / Q000662:veterinary*; D007813:Laparotomy / Q000662:veterinary; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology / Q000662:veterinary; D016019:Survival Analysis; D016896:Treatment Outcome