PMID: 9449174Feb 4, 1998Paper

Closed one-stage functional end-to-end jejunojejunostomy in horses with use of linear stapling equipment

Veterinary Surgery : VS
F G LatimerS Patton

Abstract

To use gastrointestinal linear stapling instrumentation to perform a closed one-stage functional end-to-end jejunojejunostomy in adult horses as an alternative to a stapled side-to-side jejunojejunostomy. Clinical outcome, anatomic and histological architecture, and anastomotic dimensions were determined at 2, 4, 8, 16, and 24 weeks postoperatively. 18 adult horses. The anastomosis and peritoneal cavity were inspected for adhesions. The diameter and circumference of the anastomosis and jejunum oral and aboral to the anastomosis were determined from digitized contrast radiographs and linear measurements. Healing of anastomotic sites was evaluated histologically. Three horses were euthantized in the immediate postoperative period. In the 15 surviving horses, there were no peritoneal adhesions or distortion of the anastomoses and stomas remodeled in an end-to-end fashion. The mean anastomotic staple line (7.48 cm) and mucosa (6.89 cm) diameters were significantly (P < .05) larger than the mean jejunal diameter oral (6.03 cm) and aboral (6.01 cm) to the anastomosis. The mean anastomotic luminal circumference (13.61 cm) was significantly (P < .01) larger than the mean oral (11.43 cm) and aboral (11.12 cm) jejunal circumference. Hist...Continue Reading

References

Jan 1, 1992·Veterinary Surgery : VS·G M BaxterB R Jackman
Nov 1, 1989·Veterinary Surgery : VS·G M BaxterJ N Moore
Nov 1, 1989·Veterinary Surgery : VS·M H MacDonaldD M Meagher
Aug 1, 1989·The Veterinary Clinics of North America. Equine Practice·J R Pascoe, P R Peterson
Nov 1, 1995·Veterinary Surgery : VS·R L FrankenyC Campbell-Beggs
Jul 1, 1996·Veterinary Surgery : VS·H F BleyaertC M Johnson

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Citations

Jul 8, 2009·The Veterinary Clinics of North America. Equine Practice·Gal Kelmer
Jan 27, 2004·The Veterinary Clinics of North America. Equine Practice·Randall B Eggleston, P O Eric Mueller
Oct 10, 2006·Veterinary Surgery : VS·Marco Gandini, Andrea Bertuglia
Jul 20, 2002·Journal of the American Veterinary Medical Association·Stacy A SemevolosRichard P Hackett
Jan 12, 2007·Veterinary Surgery : VS·Stacy A SemevolosKari Gamble

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