Peer-reviewed veterinary case report
Jejunal intussusception: a complication of functional end-to-end stapled anastomoses in two ponies.
- Journal:
- Veterinary surgery : VS
- Year:
- 1995
- Authors:
- Frankeny, R L et al.
- Affiliation:
- Department of Veterinary Medicine and Surgery · United States
- Species:
- horse
Plain-English summary
Two pony mares developed a serious condition called jejunojejunal intussusception, where part of their intestines telescoped into itself, after undergoing surgery to remove a section of their intestines and reconnecting them with staples. In both cases, the area where the intestines were stapled was the starting point for this problem. The way the intestines were connected may have created a sharp angle that disrupted the normal flow of food, leading to changes in how the intestines moved and making them more likely to telescope. The researchers suggest that sewing the ends of the intestines together after stapling might not be a good idea, as it could contribute to this issue. The outcome of the treatment for these mares was not specified in the abstract.
Abstract
Jejunojejunal intussusception occurred after jejunal resection and stapled functional end-to-end anastomosis in two pony mares. In both mares, the lead point of the intussusception was the stapled functional end-to-end (FEE) anastomosis. The stapled free ends of jejunum were oversewn with an inverting suture pattern. A possible explanation for development of the intussusception was the acute angle created in the intestine by the FEE anastomosis. This angulation may have impaired flow of ingesta causing motility changes that predisposed the site to intussusception. Because the oversewn blind intestinal ends acted as the lead point for formation of the intussusception, it may be inadvisable to oversew the stapled anastomotic ends.
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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/8560747/