Document Detail


Comparison of complications and long-term survival rates following hand-sewn versus stapled side-to-side jejunocecostomy in horses with colic.
MedLine Citation:
PMID:  21034346     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate survival rate and complications after jejunocecostomy in horses with colic and to compare outcomes after hand-sewn versus stapled side-to-side jejunocecostomy.
DESIGN: Retrospective cohort study.
ANIMALS: 32 horses.
PROCEDURES: Information was retrieved from medical records and through telephone calls on horses that had a hand-sewn or stapled side-to-side jejunocecostomy for treatment of colic, which was performed by or under the supervision of the same surgeon. Kaplan-Meier life table analysis was used to compare survival times and rates between horses that underwent a hand-sewn or stapled side-to-side anastomosis.
RESULTS: 32 horses met inclusion criteria; 22 underwent a hand-sewn anastomosis, and 10 underwent a stapled anastomosis. Horses in the stapled group had a significantly greater prevalence of postoperative colic and combined postoperative colic and reflux than horses in the hand-sewn group. In the hand-sewn group, repeated celiotomy was performed within the same hospitalization period for 3 of 22 horses; in the stapled group, 4 of 10 horses had repeated celiotomies. Hospital discharge rates (ie, short-term survival rates) were similar between horses in the hand-sewn group (20/22 horses) and those in the stapled group (9/10 horses). Long-term survival rates were similar for both groups, ranging from 5 to 126 months.
CONCLUSIONS AND CLINICAL RELEVANCE: Short- and long-term results justify use of jejunocecostomy in horses. Despite similar survival rates between groups, horses that underwent a stapled anastomosis had significantly greater prevalences of postoperative complications than horses that underwent a hand-sewn anastomosis, suggesting that horses were sensitive to minor differences in anastomosis techniques.
Authors:
David E Freeman; David J Schaeffer
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American Veterinary Medical Association     Volume:  237     ISSN:  0003-1488     ISO Abbreviation:  J. Am. Vet. Med. Assoc.     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-01     Completed Date:  2010-12-14     Revised Date:  2011-02-07    
Medline Journal Info:
Nlm Unique ID:  7503067     Medline TA:  J Am Vet Med Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1060-7     Citation Subset:  IM    
Affiliation:
Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois, Urbana, IL 61802, USA. freemand@ufl.edu
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MeSH Terms
Descriptor/Qualifier:
Anastomosis, Surgical / adverse effects,  methods,  veterinary*
Animals
Colic / surgery,  veterinary*
Horse Diseases / etiology,  surgery*
Horses
Postoperative Complications / etiology,  veterinary*
Retrospective Studies
Surgical Stapling / adverse effects,  veterinary*
Suture Techniques / adverse effects,  veterinary*
Comments/Corrections
Erratum In:
J Am Vet Med Assoc. 2011 Jan 1;238(1):65

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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