Preoperative factors associated with resection and anastomosis in horses presenting with strangulating lesions of the small intestine

Jannah Pye, Pablo Espinosa-Mur, Rodrigo Roca, Isabelle Kilcoyne, Jorge Nieto, Julie E Dechant

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective: To determine if preoperative and intraoperative clinical variables correlate with resection and anastomosis (RA) in horses presenting with strangulating small intestinal (SI) lesions. Study design: Retrospective case series. Animals: Horses undergoing exploratory celiotomy for a strangulating SI lesion (n = 243). Methods: The records of horses undergoing surgical correction for strangulating SI lesions from January 1, 2000 to December 31, 2017 were reviewed. Horses were categorized as treated with RA or not treated with RA. Obtained information included history, signalment, clinical findings, diagnostic test results, intraoperative findings, and survival to discharge. Univariable and multivariable analyses were used to compare data between horses treated with RA vs those not treated with RA (P =.05). Results: In total, 172 SI lesions were resected, and 71 were not resected. Horses that had gastric reflux at admission to the hospital (odds ratio [OR] 5.56; 95% CI 1.76, 17.59) and horses with amotile SI according to abdominal ultrasonography (OR 9.69; 95% CI 3.09, 30.37) were more likely to undergo RA. Increased difference between peritoneal fluid and blood lactate was higher in horses that underwent RA (OR 1.55; 95% CI 1.12, 2.13). Survival to hospital discharge was lower in the group of horses that underwent RA compared with horses that did not undergo RA. Conclusion: Resection and anastomosis of strangulating SI lesions was associated with several preoperative variables. Clinical significance: This study highlights the value of preoperative diagnostic procedures in aiding intraoperative decision making and prognostication in horses presenting with strangulating SI lesions.

Original languageEnglish (US)
JournalVeterinary Surgery
DOIs
StatePublished - Jan 1 2019

Fingerprint

resection
lesions (animal)
Horses
Small Intestine
small intestine
horses
odds ratio
Odds Ratio
Preoperative Care
Ascitic Fluid
Routine Diagnostic Tests
ultrasonography
diagnostic techniques
lactates
decision making
Lactic Acid
Ultrasonography
Stomach
Decision Making
stomach

ASJC Scopus subject areas

  • veterinary(all)

Cite this

@article{b7e8f5deca82499a84acb29ad7de4705,
title = "Preoperative factors associated with resection and anastomosis in horses presenting with strangulating lesions of the small intestine",
abstract = "Objective: To determine if preoperative and intraoperative clinical variables correlate with resection and anastomosis (RA) in horses presenting with strangulating small intestinal (SI) lesions. Study design: Retrospective case series. Animals: Horses undergoing exploratory celiotomy for a strangulating SI lesion (n = 243). Methods: The records of horses undergoing surgical correction for strangulating SI lesions from January 1, 2000 to December 31, 2017 were reviewed. Horses were categorized as treated with RA or not treated with RA. Obtained information included history, signalment, clinical findings, diagnostic test results, intraoperative findings, and survival to discharge. Univariable and multivariable analyses were used to compare data between horses treated with RA vs those not treated with RA (P =.05). Results: In total, 172 SI lesions were resected, and 71 were not resected. Horses that had gastric reflux at admission to the hospital (odds ratio [OR] 5.56; 95{\%} CI 1.76, 17.59) and horses with amotile SI according to abdominal ultrasonography (OR 9.69; 95{\%} CI 3.09, 30.37) were more likely to undergo RA. Increased difference between peritoneal fluid and blood lactate was higher in horses that underwent RA (OR 1.55; 95{\%} CI 1.12, 2.13). Survival to hospital discharge was lower in the group of horses that underwent RA compared with horses that did not undergo RA. Conclusion: Resection and anastomosis of strangulating SI lesions was associated with several preoperative variables. Clinical significance: This study highlights the value of preoperative diagnostic procedures in aiding intraoperative decision making and prognostication in horses presenting with strangulating SI lesions.",
author = "Jannah Pye and Pablo Espinosa-Mur and Rodrigo Roca and Isabelle Kilcoyne and Jorge Nieto and Dechant, {Julie E}",
year = "2019",
month = "1",
day = "1",
doi = "10.1111/vsu.13184",
language = "English (US)",
journal = "Veterinary Surgery",
issn = "0161-3499",
publisher = "Wiley-Blackwell",

}

TY - JOUR

T1 - Preoperative factors associated with resection and anastomosis in horses presenting with strangulating lesions of the small intestine

AU - Pye, Jannah

AU - Espinosa-Mur, Pablo

AU - Roca, Rodrigo

AU - Kilcoyne, Isabelle

AU - Nieto, Jorge

AU - Dechant, Julie E

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Objective: To determine if preoperative and intraoperative clinical variables correlate with resection and anastomosis (RA) in horses presenting with strangulating small intestinal (SI) lesions. Study design: Retrospective case series. Animals: Horses undergoing exploratory celiotomy for a strangulating SI lesion (n = 243). Methods: The records of horses undergoing surgical correction for strangulating SI lesions from January 1, 2000 to December 31, 2017 were reviewed. Horses were categorized as treated with RA or not treated with RA. Obtained information included history, signalment, clinical findings, diagnostic test results, intraoperative findings, and survival to discharge. Univariable and multivariable analyses were used to compare data between horses treated with RA vs those not treated with RA (P =.05). Results: In total, 172 SI lesions were resected, and 71 were not resected. Horses that had gastric reflux at admission to the hospital (odds ratio [OR] 5.56; 95% CI 1.76, 17.59) and horses with amotile SI according to abdominal ultrasonography (OR 9.69; 95% CI 3.09, 30.37) were more likely to undergo RA. Increased difference between peritoneal fluid and blood lactate was higher in horses that underwent RA (OR 1.55; 95% CI 1.12, 2.13). Survival to hospital discharge was lower in the group of horses that underwent RA compared with horses that did not undergo RA. Conclusion: Resection and anastomosis of strangulating SI lesions was associated with several preoperative variables. Clinical significance: This study highlights the value of preoperative diagnostic procedures in aiding intraoperative decision making and prognostication in horses presenting with strangulating SI lesions.

AB - Objective: To determine if preoperative and intraoperative clinical variables correlate with resection and anastomosis (RA) in horses presenting with strangulating small intestinal (SI) lesions. Study design: Retrospective case series. Animals: Horses undergoing exploratory celiotomy for a strangulating SI lesion (n = 243). Methods: The records of horses undergoing surgical correction for strangulating SI lesions from January 1, 2000 to December 31, 2017 were reviewed. Horses were categorized as treated with RA or not treated with RA. Obtained information included history, signalment, clinical findings, diagnostic test results, intraoperative findings, and survival to discharge. Univariable and multivariable analyses were used to compare data between horses treated with RA vs those not treated with RA (P =.05). Results: In total, 172 SI lesions were resected, and 71 were not resected. Horses that had gastric reflux at admission to the hospital (odds ratio [OR] 5.56; 95% CI 1.76, 17.59) and horses with amotile SI according to abdominal ultrasonography (OR 9.69; 95% CI 3.09, 30.37) were more likely to undergo RA. Increased difference between peritoneal fluid and blood lactate was higher in horses that underwent RA (OR 1.55; 95% CI 1.12, 2.13). Survival to hospital discharge was lower in the group of horses that underwent RA compared with horses that did not undergo RA. Conclusion: Resection and anastomosis of strangulating SI lesions was associated with several preoperative variables. Clinical significance: This study highlights the value of preoperative diagnostic procedures in aiding intraoperative decision making and prognostication in horses presenting with strangulating SI lesions.

UR - http://www.scopus.com/inward/record.url?scp=85062550801&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85062550801&partnerID=8YFLogxK

U2 - 10.1111/vsu.13184

DO - 10.1111/vsu.13184

M3 - Article

C2 - 30834566

AN - SCOPUS:85062550801

JO - Veterinary Surgery

JF - Veterinary Surgery

SN - 0161-3499

ER -