Incomplete Ileocecal Bypass for Ileal Pathology in Horses: 21 Cases (2012–2019)
Background: Incomplete ileocecal bypass can be performed in cases in which an ileal disfunction is suspected but resection of the diseased ileum is not necessary. Objectives: To describe the clinical findings, the surgical technique, and the outcome of 21 cases of colic with ileal pathologies that u...
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MDPI AG
2021-02-01
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| author | Gessica Giusto Anna Cerullo Federico Labate Marco Gandini |
| author_facet | Gessica Giusto Anna Cerullo Federico Labate Marco Gandini |
| author_sort | Gessica Giusto |
| collection | DOAJ |
| description | Background: Incomplete ileocecal bypass can be performed in cases in which an ileal disfunction is suspected but resection of the diseased ileum is not necessary. Objectives: To describe the clinical findings, the surgical technique, and the outcome of 21 cases of colic with ileal pathologies that underwent an incomplete ileocecal bypass. Methods: Historical, clinical, and surgical features of cases diagnosed with pathologies involving the ileum or the ileocecal valve that underwent ileocecal anastomosis without ileal resection were retrieved. Clinical (heart rate, duration of symptoms, presence of reflux, age, weight at arrival) and surgical (surgical pathology, duration of surgery, type of anastomosis) data were retrieved and analysed. Data on short term survival and postoperative complications (colic, post-operative reflux, incisional infection, fever), length of hospital stay, and long term follow up were also obtained. Results: A total of 21 horses met the criteria; 13 horses had ileal impaction (one with muscular hypertrophy), 5 horses had epiploic foramen entrapment, and 3 horses had a pedunculated lipoma. An incomplete ileocecal bypass was performed with a two-layer hand-sewn side-to-side technique in 19 cases and with a stapled side-to-side technique in 2 cases. Short term survival was 95.2%. At 12-months follow up, all horses but two were alive, and 13 of the 14 sport horses returned to their previous level of activity. Long term survival was 90.47%. Conclusions Incomplete ileocecal bypass may represent a valid surgical technique in case of ileocecal valve disfunction when ileum resection is not necessary; this technique may represent an alternative to extensive manipulation without subsequent recurrence of ileal impaction. |
| first_indexed | 2024-03-09T05:34:33Z |
| format | Article |
| id | doaj.art-7d5a550ee1124e50af79e564c5611d37 |
| institution | Directory Open Access Journal |
| issn | 2076-2615 |
| language | English |
| last_indexed | 2024-03-09T05:34:33Z |
| publishDate | 2021-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Animals |
| spelling | doaj.art-7d5a550ee1124e50af79e564c5611d372023-12-03T12:29:40ZengMDPI AGAnimals2076-26152021-02-0111240310.3390/ani11020403Incomplete Ileocecal Bypass for Ileal Pathology in Horses: 21 Cases (2012–2019)Gessica Giusto0Anna Cerullo1Federico Labate2Marco Gandini3Department of Veterinary Sciences, University of Turin, Largo Paolo Braccini 2-5, 10095 Grugliasco (TO), ItalyDepartment of Veterinary Sciences, University of Turin, Largo Paolo Braccini 2-5, 10095 Grugliasco (TO), ItalyDepartment of Veterinary Sciences, University of Turin, Largo Paolo Braccini 2-5, 10095 Grugliasco (TO), ItalyDepartment of Veterinary Sciences, University of Turin, Largo Paolo Braccini 2-5, 10095 Grugliasco (TO), ItalyBackground: Incomplete ileocecal bypass can be performed in cases in which an ileal disfunction is suspected but resection of the diseased ileum is not necessary. Objectives: To describe the clinical findings, the surgical technique, and the outcome of 21 cases of colic with ileal pathologies that underwent an incomplete ileocecal bypass. Methods: Historical, clinical, and surgical features of cases diagnosed with pathologies involving the ileum or the ileocecal valve that underwent ileocecal anastomosis without ileal resection were retrieved. Clinical (heart rate, duration of symptoms, presence of reflux, age, weight at arrival) and surgical (surgical pathology, duration of surgery, type of anastomosis) data were retrieved and analysed. Data on short term survival and postoperative complications (colic, post-operative reflux, incisional infection, fever), length of hospital stay, and long term follow up were also obtained. Results: A total of 21 horses met the criteria; 13 horses had ileal impaction (one with muscular hypertrophy), 5 horses had epiploic foramen entrapment, and 3 horses had a pedunculated lipoma. An incomplete ileocecal bypass was performed with a two-layer hand-sewn side-to-side technique in 19 cases and with a stapled side-to-side technique in 2 cases. Short term survival was 95.2%. At 12-months follow up, all horses but two were alive, and 13 of the 14 sport horses returned to their previous level of activity. Long term survival was 90.47%. Conclusions Incomplete ileocecal bypass may represent a valid surgical technique in case of ileocecal valve disfunction when ileum resection is not necessary; this technique may represent an alternative to extensive manipulation without subsequent recurrence of ileal impaction.https://www.mdpi.com/2076-2615/11/2/403horsecolicileal pathologyanastomosisileocecal bypass |
| spellingShingle | Gessica Giusto Anna Cerullo Federico Labate Marco Gandini Incomplete Ileocecal Bypass for Ileal Pathology in Horses: 21 Cases (2012–2019) Animals horse colic ileal pathology anastomosis ileocecal bypass |
| title | Incomplete Ileocecal Bypass for Ileal Pathology in Horses: 21 Cases (2012–2019) |
| title_full | Incomplete Ileocecal Bypass for Ileal Pathology in Horses: 21 Cases (2012–2019) |
| title_fullStr | Incomplete Ileocecal Bypass for Ileal Pathology in Horses: 21 Cases (2012–2019) |
| title_full_unstemmed | Incomplete Ileocecal Bypass for Ileal Pathology in Horses: 21 Cases (2012–2019) |
| title_short | Incomplete Ileocecal Bypass for Ileal Pathology in Horses: 21 Cases (2012–2019) |
| title_sort | incomplete ileocecal bypass for ileal pathology in horses 21 cases 2012 2019 |
| topic | horse colic ileal pathology anastomosis ileocecal bypass |
| url | https://www.mdpi.com/2076-2615/11/2/403 |
| work_keys_str_mv | AT gessicagiusto incompleteileocecalbypassforilealpathologyinhorses21cases20122019 AT annacerullo incompleteileocecalbypassforilealpathologyinhorses21cases20122019 AT federicolabate incompleteileocecalbypassforilealpathologyinhorses21cases20122019 AT marcogandini incompleteileocecalbypassforilealpathologyinhorses21cases20122019 |