Corrección quirúrgica de infarto de intestino delgado en un equino mediante yeyunocecostomía con grapadora quirúrgica mecánica
Keywords:colic, exploratory laparotomy, GIA 80, intestinal resection, intestinal strangulation, jejunocecal anastomosis
A 7- years-old criollo colombiano stallion was referred to the Large Animal Hospital Centro de Veterinaria y Zootecnia CES (Envigado, Colombia) because of an acute abdominal syndrome that had persisted for seven hours despite medical treatment. On physical examination the stallion was depressed, dehydrated (6%), borborygmi were diminished, rectal temperature was 37.1 °C 37.1 °C, hearth and respiration rates , hearth and respiration rates hearth and respiration rates were 40 beats/min and 28 breaths/min, respectively. On rectal examination and abdominal ultrasonography small intestine was distended. Peritoneal fluid analysis was altered. Signs of pain were nonresponsive to analgesics. The diagnosis by exploratory laparotom laparotomy was infarction of small intestine (seven meters of the y was infarction of small intestine (seven meters of the was infarction of small intestine (seven meters of the infarction of small intestine (seven meters of the of small intestine (seven meters of the jejunum and proximal portion of the ileum) of unknown etiology. A jejunocecostomy was done using a GIA etiology. A jejunocecostomy was done using a GIA . A jejunocecostomy was done using a GIA 80 surgical stapler (United Surgical). Postsurgical recuperation was successful. This case becomes the first report of a jejunocecostomy in a horse in Colombia.
. Adams SB, Fessler JF . Jejuno caecal anastomosis . In: Atlas of equine surgery . Philadelphia: Saunders; 2000 . p . 103-108 .
. Auer JA, Stick JA . Equine surgery . 3rd ed . Equine surgery . Philadelphia: Saunders; 2005 . p .425-426 .
. Blikslager AT . Treatment of gastrointestinal ischemic injury . Vet Clin Equine 2003; 19:715-727 .-727 .727 .
. Byars T, Davis D, Divers T . Coagulation in the equine intensive-care patient . Clin Tech Equine Pract 2003; 2:178-187 .
. Catena F, La Donna M, Gagliardi S, Avanzolini A, Taffurelli M . Stapled versus hand-sewn anastomosis in emergency intestinal surgery: results of a prospective randomized study . Surg Today 2004; 34:123-126 .
. Cohen ND, Lester GD, Sanchez LC, Merritt AM, Rousell AJ . Evaluation of risk factors associated with development of postoperative ileus in horses . J Am Vet Med Assoc 2004; 225:1070-1078 .
. Docherty JG, McGregor JR, Akyol AM, Murray GD, Galloway DJ . Comparison of manually constructed and stapled anastomosis in colorectal surgery . Ann Surg 1995; 221:176-184 .
. Doyle AJ, Freeman DE, Rapp H, Verocay JA, Wilkins PA . Life-threatening hemorrhage from enterotomies and anastomosis in 7 horses . Vet Surg 2003; 32:553-558 .
. Erkert RS, Crowson CL, Moll HD, Bentz BG, Confer W, et al. Obstruction of the cecocolic orifice by ileocecocolic intussusception following jejunocecostomy in a horse . J Am Vet Med Assoc 2003; 222:1743-1745 .
. Freeman DE . Surgery of small intestine . Vet Clin North Am Equine Pract 1997; 13:261-301 .
. Freeman DE, Schaeffer DJ . Age distribution of horses with strangulation of the small intestine by a lipoma or in the epiploic foramen: 46 cases (1994-2000) . J Am Vet Med Assoc 2001; 219:87-89 .
. Freeman DE . Comments on the outcome of stapled intestinal anastomosis . J Am Vet Med Assoc 2001; 219:436-438 .
. Freeman DE . Kilgallon EG . Effect of venous strangulation obstruction on length of equine jejunum and relevance to small-intestinal resection . Vet Surg 2001; 30:218-222 .
. Fugaro MN, Coté NM . Survival rates for horses undergoing stapled small intestinal anastomosis: 84 cases (1988-1997) . J Am Vet Med Assoc 2001; 218:1603-1607 .
. Gayle JM, Blikslager AT, Bowman KF . Mesenteric rents as a source of small intestinal strangulation in horses: 15 cases (1990–1997) . J Am Vet Med Assoc 2000; 216:1446-1449 .
. Gayle JM, Macharg MA, Smallwood JE . Strangulating obstruction caused by Intestinal herniation through the proximal aspect of the cecocolic fold in 9 Horses . Vet Surg 2001; 30:40-43 .
. Hardy J, Rakestraw PC . Postoperative management for colics . Clin Tech Equine Pract 2002; 1:188-197 .
. Hawkins JF, Schumacher JS, McClure SR, Light GS . Small intestinal incarceration through the lateral ligament of the urinary bladder in a horse . J Am Vet Med Assoc 1993; 202:89-90 .
. Loesch DA, Rodgerson DH, Haines GR, Watt BC . Jejunoileal anastomosis following small intestinal resection in horses: seven cases (1999-2001) . J Am Vet Med Assoc 2002; 221:541-545 .
. Magdesian KG . Colloid replacement in the ICU . Clin Tech Equine Pract 2003; 2:130-137 .
. Mair TS, Edwards GB . Strangulating obstructions of the small intestine . Equine Vet Educ 2003; 15:192-199 .
. Mair TS, Smith LJ . Survival and complication rates in 300 horses undergoing surgical treatment of colic . Part 1: short-term survival following a single laparotomy . Equine Vet J 2005; 37:296-302 .
. Mair TS, Smith LJ . Survival and complication rates in 300 horses undergoing surgical treatment of colic . Part 3: Long-term complications and survival . Equine Vet J 2005; 37:310-314 .
. Malone E, Ensink J, Turner T, Wilson J, Andrews F, et al . Intravenous continuous infusion of lidocaine for treatment of equine ileus . Vet Surg 2006; 35:60-66 .
. Moll HD, Howard RD, May KA, Cheramie HS . Small intestine strangulation by components of the spermatic cord in two geldings . J Am Vet Med Assoc 1999; 215:824-825 .
. Mueller E, Allen D . Instrumentation and techniques in equine gastrointestinal surgery . Vet Clin North Am Equine Pract 1996; 12:207-233 .
. Pascoe JR, Peterson PR . Intestinal healing and methods of anastomosis . Vet Clin North Am Equine Pract 1989; 5:309-333 .
. Parry BW . Normal clinical pathology data In: Robinsons NE, editor . Current therapy in equine medicine . 5th ed . Philadelphia: Saunders; 2003 . p . 870-884 .
. Proudman CJ, Edwards GB, Barnes J . Differential survival in horses requiring end-to-end jejunojejunal anastomosis compared to those requiring side-to-side jejunocaecal anastomosis .Equine Vet J 2007; 39:181-185 .
. Rendle DI, Wood JL, Summerhays GE, Walmsley JP, Boswell JC,et al . End-to-end jejuno-ileal anastomosis following resection of strangulated small intestine in horses: a comparative study . Equine Vet J 2005; 37:356-359 .
. Rooney JR . Volvulus, strangulation, and intussusception in the horse . Cornell Vet 1965; 55:644-653 .
. Semevolos SA, Ducharme NG, Hackett RP . ClinicalClinical assessment and outcome of three techniques for jejunal resection and anastomosis in horses: 59 cases (1989-2000) . J Am Vet Med Assoc 2002; 220:215-218 .
Slauson DO. Disturbances of blow flow and circulation. In: Slauson DO, Cooper BJ, editors . Mechanisms of disease: A textbook of comparative general pathology . 3rd ed .St . Louis: Mosby; 2002 . p . 76-139 .
. Smith CL, Dowling BA, Dart AJ . Recent advances in equine abdominal surgery . Vet J 2005; 170:41-51 .
. Southwood LL . Acute abdomen . Clin Tech Equine Pract 2006; 5:112-126 .
. Stephen JO, Corley KT, Johnston, JK, Pfeiffer D . Factors associated with mortality and morbidity in small intestinal volvulus in horses . Vet Surg 2004; 33:340-348 .
. Stephen JO, Corley KT, Johnston JK, Pfeiffer D . Small intestinal volvulus in 115 Horses: 1988–2000 . Vet Surg 2004; 33:333-339 .
. Tomlinson JE, Blikslager AT . Interactions between lipopolysaccharide and the intestinal epithelium . J Am Vet Med Assoc 2004; 224:1446-1452 .
. Trostle SS, Markel MD . Incarceration of the large colon in the gastrosplenic ligament of a horse . J Am Vet Med Assoc 1993; 202:773-775 .
. Turner TA, Adams SB, White NA . Small intestine incarceration through the epiploic foramen of the horse . J Am Vet Med Assoc1984; 184:731-734 .
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