Abstract
Objective - To describe a novel stapling technique for creation of a complete cecal bypass, without ileal transection in horses. Study Design - Experimental study. Animals - Four adult horses. Methods - Through a ventral median celiotomy, jejunocolostomy was made with an intraluminal anastomosis device (ILA-100) and oversewn with a Cushing pattern to reinforce the staple line. Immediately distal to the anastomosis, 4 rows of staples were applied using a thoracoabdominal stapling device (TA-90) to occlude the lumen of the distal jejunum and proximal ileum. Necropsy exams were performed at least 60 days after surgery. Results - No intraoperative complications occurred. Cecal bypass was functional in all horses at necropsy. The most oral staple line across the ileum partially failed in 1 horse; however cecal bypass was functional. Conclusions - Complete cecal bypass without ileal transection is a viable alternative to traditional methods of complete cecal bypass. Two sets of staple lines across the ileum are recommended. Longer term follow-up is warranted before clinical use of this technique. Clinical Relevance - Cecal bypass without ileal transection is technically simple and effectively bypasses the cecum. It also should intuitively require less time and have a reduced risk of contamination compared with complete cecal bypass with ileal transection.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 674-677 |
| Number of pages | 4 |
| Journal | Veterinary Surgery |
| Volume | 35 |
| Issue number | 7 |
| DOIs | |
| State | Published - Oct 2006 |
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ASJC Scopus subject areas
- veterinary(all)
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Initial evaluation of a technique for complete cecal bypass in the horse. / Symm, William A.; Nieto, Jorge; Van Hoogmoed, Linda; Snyder, Jack R.
In: Veterinary Surgery, Vol. 35, No. 7, 10.2006, p. 674-677.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Initial evaluation of a technique for complete cecal bypass in the horse
AU - Symm, William A.
AU - Nieto, Jorge
AU - Van Hoogmoed, Linda
AU - Snyder, Jack R.
PY - 2006/10
Y1 - 2006/10
N2 - Objective - To describe a novel stapling technique for creation of a complete cecal bypass, without ileal transection in horses. Study Design - Experimental study. Animals - Four adult horses. Methods - Through a ventral median celiotomy, jejunocolostomy was made with an intraluminal anastomosis device (ILA-100) and oversewn with a Cushing pattern to reinforce the staple line. Immediately distal to the anastomosis, 4 rows of staples were applied using a thoracoabdominal stapling device (TA-90) to occlude the lumen of the distal jejunum and proximal ileum. Necropsy exams were performed at least 60 days after surgery. Results - No intraoperative complications occurred. Cecal bypass was functional in all horses at necropsy. The most oral staple line across the ileum partially failed in 1 horse; however cecal bypass was functional. Conclusions - Complete cecal bypass without ileal transection is a viable alternative to traditional methods of complete cecal bypass. Two sets of staple lines across the ileum are recommended. Longer term follow-up is warranted before clinical use of this technique. Clinical Relevance - Cecal bypass without ileal transection is technically simple and effectively bypasses the cecum. It also should intuitively require less time and have a reduced risk of contamination compared with complete cecal bypass with ileal transection.
AB - Objective - To describe a novel stapling technique for creation of a complete cecal bypass, without ileal transection in horses. Study Design - Experimental study. Animals - Four adult horses. Methods - Through a ventral median celiotomy, jejunocolostomy was made with an intraluminal anastomosis device (ILA-100) and oversewn with a Cushing pattern to reinforce the staple line. Immediately distal to the anastomosis, 4 rows of staples were applied using a thoracoabdominal stapling device (TA-90) to occlude the lumen of the distal jejunum and proximal ileum. Necropsy exams were performed at least 60 days after surgery. Results - No intraoperative complications occurred. Cecal bypass was functional in all horses at necropsy. The most oral staple line across the ileum partially failed in 1 horse; however cecal bypass was functional. Conclusions - Complete cecal bypass without ileal transection is a viable alternative to traditional methods of complete cecal bypass. Two sets of staple lines across the ileum are recommended. Longer term follow-up is warranted before clinical use of this technique. Clinical Relevance - Cecal bypass without ileal transection is technically simple and effectively bypasses the cecum. It also should intuitively require less time and have a reduced risk of contamination compared with complete cecal bypass with ileal transection.
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UR - http://www.scopus.com/inward/citedby.url?scp=33749512177&partnerID=8YFLogxK
U2 - 10.1111/j.1532-950X.2006.00207.x
DO - 10.1111/j.1532-950X.2006.00207.x
M3 - Article
VL - 35
SP - 674
EP - 677
JO - Veterinary Surgery
JF - Veterinary Surgery
SN - 0161-3499
IS - 7
ER -