Peer-reviewed veterinary case report
Combination of end-to-end jejuno-ileal anastomosis and side-to-side incomplete ileocecal bypass (hybrid jejuno-ileo-cecal anastomosis) following subtotal ileal resection in seven horses.
- Journal:
- Journal of the American Veterinary Medical Association
- Year:
- 2021
- Authors:
- Gandini, Marco & Giusto, Gessica
- Species:
- horse
Plain-English summary
Seven horses, including three geldings, two mares, and two stallions, were treated for severe abdominal pain caused by a blockage in their small intestines. After a thorough examination, they were diagnosed with a strangulating obstruction, which means part of their intestines was pinched and not functioning properly. All horses underwent emergency surgery to remove the affected sections of their intestines, and most had a special surgical technique used to reconnect their intestines while bypassing part of the digestive system. Fortunately, all the horses recovered and were discharged from the hospital without any further issues, with six of them remaining healthy for up to 17 months after the surgery, while one horse was sadly euthanized due to colic 17 months later. This suggests that the surgical method used could be a good option for treating similar intestinal problems in horses, but more research is needed to understand its long-term effects.
Abstract
CASE DESCRIPTION: 7 horses (3 geldings, 2 mares, and 2 stallions) were examined because of acute colic caused by small intestinal obstruction involving the aborad portion of the jejunum and orad portion of the ileum. CLINICAL FINDINGS: All horses underwent a routine colic examination on arrival and had a diagnosis of strangulating obstruction of the small intestine. TREATMENT AND OUTCOME: All horses underwent emergency exploratory laparotomy, in which the affected aborad portion of the jejunum and orad portion of the ileum were resected; in 5 horses, a hand-sewn end-to-end jejuno-ileal anastomosis was combined with a hand-sewn incomplete ileocecal bypass to produce a hybrid jejuno-ileo-cecal anastomosis. In 2 horses, the hand-sewn end-to-end jejuno-ileal anastomosis was combined with a half-stapled, half-hand-sewn incomplete ileocecal bypass. The procedures restored continuity of the small intestine with partial bypass of the ileocecal valve. All horses survived to hospital discharge, and none developed colic or ileus during the postoperative period. Follow-up revealed that 6 horses were living and had no subsequent signs of colic (4 to 17 months after surgery), and 1 was euthanized because of colic 17 months after surgery. CLINICAL RELEVANCE: Results for these horses suggested the hybrid jejuno-ileo-cecal anastomosis could be considered as an option for the resolution of small intestinal strangulating lesions involving the orad portion of the ileum. Studies are needed to assess short-term and long-term effects of the procedure in horses.
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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/34727065/