Stapled side-to-side jejunocecostomy as surgical treatment for ileocecal intussusception in a 6 years old criollo mare
DOI:
https://doi.org/10.33448/rsd-v14i2.48334Keywords:
Colic; Intussusception; Jejunocecostomy; Gastrointestinal Staplers.Abstract
Colic is a common and dangerous condition that causes abdominal discomfort in horses. Its resolution can be clinical or surgical, caused by a range of possible abnormalities. One such alteration is intussusception, where one segment of the intestine (the intussusceptum) is enveloped by an adjacent aboral segment (the intussuscipiens). The progression of this condition leads to ischemia and necrosis of the involved intestinal loops, underscoring the importance of early diagnosis and intervention. When the ileum is involved and complete resection is necessary, jejunocecostomy is the recommended surgical technique, leaving a remnant ileal stump and creating a new ileocecal valve. This work aims to report the case of a 6-year-old Crioulo mare, which was presumptively diagnosed with acute intussusception through clinical and ultrasonographic findings (bull’s eye formation), confirming the suspicion during exploratory celiotomy that was promptly performed. The anastomosis of the cecum to the resected end of the jejunum was accomplished using gastrointestinal staplers. The surgery was successful and the patient was discharged from the hospital without complications 7 days post-procedure, subsequently returning to its activities satisfactorily. This report emphasizes the impact of the time between presentation and resolution on the prognosis of patients with colic, due to the progressive local and systemic damages caused by this syndrome.
References
Barton, M. H., & Peroni, J. F. (2019). Systemic inflammatory response. In Equine Surgery (pp. 14–27). Elsevier.
Brown, J. A., Holcombe, S. J., Southwood, L. L., Byron, C. R., Embertson, R. M., & Hauptmann, J. G. (2015). End-to-side versus side-to-side jejunocecostomy in horses: A retrospective analysis of 150 cases: End-to-side versus side-to-side jejunocecostomy in horses. Veterinary Surgery: VS, 44(4), 527–533. https://doi.org/10.1111/j.1532-950X.2014.12256.x
Cook, V. L., Blikslager, A. T., & Marshall, J. F. (2019). Principles of intestinal injury and determination of intestinal viability. In Equine Surgery (pp. 529–536). Elsevier.
Ducharme, N. G., Hackett, R. P., Ducharme, G. R., & Long, S. (1983). Surgical treatment of colic results in 181 horses. Veterinary Surgery: VS, 12(4), 206–209. https://doi.org/10.1111/j.1532-950x.1983.tb00745.x
Dunkel, B., Buonpane, A., & Chang, Y.-M. (2017). Differences in gastrointestinal lesions in different horse types. The Veterinary Record, 181(11), 291–291. https://doi.org/10.1136/vr.104098
Edwards, G. B. (1981). Obstruction of the ileum in the horse: a report of 27 clinical cases. Equine Veterinary Journal, 13(3), 158–166. https://doi.org/10.1111/j.2042-3306.1981.tb03474.x
Edwards, G. B. (1986a). Resection and anastomosis of small intestine: current methods applicable to the horse. Equine Veterinary Journal, 18(4), 322–330. https://doi.org/10.1111/j.2042-3306.1986.tb03642.x
Edwards, G. B. (1986b). Surgical management of intussusception in the horse. Equine Veterinary Journal, 18(4), 313–321. https://doi.org/10.1111/j.2042-3306.1986.tb03640.x
Ford, T. S., Freeman, D. E., Ross, M. W., Richardson, D. W., Martin, B. B., & Madison, J. B. (1990). Ileocecal intussusception in horses: 26 cases (1981-1988). Journal of the American Veterinary Medical Association, 196(1), 121–126.
Freeman, D. (2009). Small Intestinal Resection and Anastomosis. In Equine Acute Abdomen (pp. 537–554). Teton NewMedia.
Freeman, D. E., Hammock, P., Baker, G. J., Goetz, T., Foreman, J. H., Schaeffer, D. J., Richter, R.-A., Inoue, O., & Magid, J. H. (2000). Short‐ and long‐term survival and prevalence of postoperative ileus after small intestinal surgery in the horse. Equine Veterinary Journal, 32(S32), 42–51. https://doi.org/10.1111/j.2042-3306.2000.tb05333.x
Freeman, D. E., Schaeffer, D. J., & Cleary, O. B. (2014). Long-term survival in horses with strangulating obstruction of the small intestine managed without resection: Non-resection of strangulated small intestine. Equine Veterinary Journal, 46(6), 711–717. https://doi.org/10.1111/evj.12216
Freeman, David E. Does jejunocecostomy deserve its bad reputation? (2008). American College of Veterinary Surgery Symposium. 70–72.
Freeman, David E. (2019). Jejunum and ileum. In Equine Surgery (pp. 536–575). Elsevier.
Freeman, David E., & Schaeffer, D. J. (2010). Comparison of complications and long-term survival rates following hand-sewn versus stapled side-to-side jejunocecostomy in horses with colic. Journal of the American Veterinary Medical Association, 237(9), 1060–1067. https://doi.org/10.2460/javma.237.9.1060
Giusto, G., Cerullo, A., & Gandini, M. (2024). Anastomotic techniques for small intestinal obstruction in horses. A scoping review. Equine Veterinary Journal, 56(6), 1103–1114. https://doi.org/10.1111/evj.14076
Greet, T. R. (1992). Ileal intussusception in 16 young thoroughbreds. Equine Veterinary Journal, 24(2), 81–83. https://doi.org/10.1111/j.2042-3306.1992.tb02787.x
Hackett, E. S. (2013). Specific causes of colic. In Practical Guide to Equine Colic (pp. 204–229). John Wiley & Sons, Inc,.
Haddad, R., Corraretti, G., Simon, O., Mair, T., Sutton, A. G., & Kelmer, G. (2022). Small intestinal intussusception in horses: Multicentre retrospective report on 26 cases (2009‐2020). Equine Veterinary Education, 34(12). https://doi.org/10.1111/eve.13604
Kümmerle, J. M. (2019). Suture materials and patterns. Em Equine Surgery (p. 255–280). Elsevier.
MacDonald, M. H., Pascoe, J. R., Stover, S. M., & Meagher, D. M. (1989). Survival after small intestine resection and anastomosis in horses. Veterinary Surgery: VS, 18(6), 415–423. https://doi.org/10.1111/j.1532-950x.1990.tb01116.x
Marshall, J. F., & Blikslager, A. T. (2019). Colic. In Equine Surgery (pp. 521–528). Elsevier.
Morton, A. J., & Blikslager, A. T. (2002). Surgical and postoperative factors influencing short-term survival of horses following small intestinal resection: 92 cases (1994-2001). Equine Veterinary Journal, 34(5), 450–454. https://doi.org/10.2746/042516402776117700
Nelson, B. B., & Brounts, S. H. (2012). Intussusception in horses. Compendium (Yardley, PA), 34(7), E4.
Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica. [free e-book]. Ed. UAB/NTE/UFSM.
Proudman, C. J. (1992). A two year, prospective survey of equine colic in general practice. Equine Veterinary Journal, 24(2), 90–93. https://doi.org/10.1111/j.2042-3306.1992.tb02789.x
Proudman, C. J., Edwards, G. B., & Barnes, J. (2007). Differential survival in horses requiring end-to-end jejunojejunal anastomosis compared to those requiring side-to-side jejunocaecal anastomosis. Equine Veterinary Journal, 39(2), 181–185. https://doi.org/10.2746/042516407x171354
Proudman, C. J., Smith, J. E., Edwards, G. B., & French, N. P. (2002). Long-term survival of equine surgical colic cases. Part 2: modelling postoperative survival. Equine Veterinary Journal, 34(5), 438–443. https://doi.org/10.2746/042516402776117881
Röcken, M., & Ross, M. W. (1994). A comparative study of end to side jejunocecostomie and side to side jejunocecostomie. Pferdeheilkunde, 10(5), 311–315. https://doi.org/10.21836/pem19940503
Rötting, A. K. (2017). Small Intestinal Resection and Anastomosis. In The Equine Acute Abdomen (pp. 581–596). John Wiley & Sons, Inc.
Rudnick, M. J., Denagamage, T. N., & Freeman, D. E. (2022). Effects of age, disease and anastomosis on short- and long-term survival after surgical correction of small intestinal strangulating diseases in 89 horses. Equine Veterinary Journal, 54(6), 1031–1038. https://doi.org/10.1111/evj.13558
Sanchez, L. C. (2018). Disorders of the gastrointestinal system. In Equine Internal Medicine (pp. 709–842). Elsevier.
Southwood, L. L. (2023). Early identification of intestinal strangulation: Why it is important and how to make an early diagnosis. The Veterinary Clinics of North America. Equine Practice, 39(2), 211–227. https://doi.org/10.1016/j.cveq.2023.03.007
Stewart, S., Southwood, L. L., & Aceto, H. W. (2014). Comparison of short- and long-term complications and survival following jejunojejunostomy, jejunoileostomy and jejunocaecostomy in 112 horses: 2005-2010: Survival and complications associated with small intestinal resection and anastomosis. Equine Veterinary Journal, 46(3), 333–338. https://doi.org/10.1111/evj.12143
Toassi, R. F. C. & Petry, P. C. (2021). Metodologia científica aplicada à área da saúde. (2.ed.). Editora da UFRGS
White, N. A., Elward, A., Moga, K. S., Ward, D. L., & Sampson, D. M. (2005). Use of web-based data collection to evaluate analgesic administration and the decision for surgery in horses with colic. Equine Veterinary Journal, 37(4), 347–350. https://doi.org/10.2746/0425164054529391
White, N. A., II. (2017). Decision for surgery and referral. In The Equine Acute Abdomen (pp. 285–288). John Wiley & Sons, Inc.
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