Jejunocolostomy or ileocolostomy for treatment of cecal impaction in horses: nine cases (1985-1995).
Jejunocolostomy or ileocolostomy for treatment of cecal impaction in horses: nine cases (1985-1995).
复制标题
空肠造口术或回肠造口术治疗马盲肠嵌塞：九例（1985-1995）。
DOI：
10.2460/javma.1996.209.07.1287
复制
发表时间：
1996
期刊：
影响因子：
--
通讯作者：
Bristol Dg
中科院分区：
文献类型：
--
作者：
Mathew P. Gerard;Bowman Kf;A. Blikslager;Lloyd P. Tate;Bristol Dg
客观化
确定完全盲肠搭桥术，空肠吻合术或回肠吻合术，是治疗盲肠嵌顿的有效方法。
设计
对病历进行回顾性分析。
动物
9例盲肠嵌顿行空肠吻合术(3例)或回盲肠吻合术(6例)，同时或不行断头排空盲肠内容物。
程序
从病历中检索关于年龄、品种、性别、治疗时间、术前异常、手术操作和术后并发症的信息。通过与业主的电话采访获得了后续数据。
结果
男6例，女3例，年龄9~24岁(中位数14岁)。9匹马中有5匹有轻微疼痛的迹象，与手术后重新进食有关。所有有随访信息的7匹马在手术后7至54个月(中位数为1.5年)仍然活着。
临床意义
空肠吻合或回肠吻合导致这些马盲肠嵌塞的明显永久解决和可接受的长期结果。术后早期可能会出现与开始进食相关的轻微腹痛症状。
OBJECTIVE
To determine whether complete cecal bypass, by jejunocolostomy or ileocolostomy, is an effective treatment for horses with cecal impaction.
DESIGN
Retrospective analysis of medical records.
ANIMALS
9 horses with cecal impaction managed by jejunocolostomy (3) or ileocolostomy (6) performed with or without typhlotomy for evacuation of cecal contents.
PROCEDURE
Information on age, breed, gender, duration of medical treatment, preoperative abnormalities, surgical procedure, and postoperative complications was retrieved from the medical records. Follow-up data were obtained via telephone interview with owners.
RESULTS
6 males and 3 females between 9 and 24 years old (median, 14 years) were included. Five of 9 horses had signs of mild pain associated with reintroduction of food after surgery. All 7 horses for which follow-up information was available were still alive between 7 and 54 months (median, 1.5 years) after surgery.
CLINICAL IMPLICATIONS
Jejunocolostomy or ileocolostomy resulted in apparently permanent resolution of cecal impaction in these horses and acceptable long-term outcomes. Mild signs of abdominal pain associated with the onset of feeding can be expected in the early postoperative period.