Short- and long-term survival and prevalence of postoperative ileus after small intestinal surgery in the horse
| Autor: | Phillip D. Hammock, Thomas E. Goetz, Gordon J. Baker, David E. Freeman, Olivia J. Inoue, J. H. Magid, David J. Schaeffer, R. A. Richter, Jonathan H. Foreman |
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| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Colic Ileus Anastomosis Severity of Illness Index Jejunum Lesion Postoperative Complications Severity of illness Prevalence medicine Animals Horses Survival rate Survival analysis Ileal Diseases business.industry Anastomosis Surgical Horse General Medicine medicine.disease Survival Analysis Surgery medicine.anatomical_structure Horse Diseases Illinois medicine.symptom business Intestinal Obstruction |
| Zdroj: | Equine Veterinary Journal. 32:42-51 |
| ISSN: | 2042-3306 0425-1644 |
| DOI: | 10.1111/j.2042-3306.2000.tb05333.x |
| Popis: | The records of 74 horses that recovered from anaesthesia after surgery for a small intestinal lesion from 1994 to 1999 were reviewed. Sixty-three horses (85%) had a strangulating lesion and 43 of these (68%) had a resection and anastomosis. Four of 11 horses (36%) without a strangulating lesion had a resection and anastomosis. Sixty-three horses (85%) survived to discharge, with a survival rate of 53/63 in horses with a strangulating lesion (84%) and 10/11 (91%) in others. For all lesions, short-term survival for all end-to-end anastomoses (91%; 21/23) and for no resection (92%; 23/25) were superior (P0.05) to survival for jejunocaecal anastomosis (76%; 19/25). Fourteen horses (19%) had a repeat abdominal surgery during hospitalisation; 9 of these (64%) survived short-term. Postoperative ileus developed in 7/70 horses (10%) after surgery for a problem other than proximal enteritis, and all had a strangulating lesion. Postoperative ileus (POI) was more likely after a jejunocaecostomy than after other procedures, and did not develop after a jejunojejunostomy. Survival7 months was 52/69 (75%) and for12 months was 39/57 (68%). The estimated prevalence of adhesions was 13%. Short-term survival was poorest in horses that had a jejunocaecostomy, but long-term survival was less affected by the anastomosis used. The sharpest decline in survival was during the first postoperative week and postoperative mortality then declined over time after surgery. A postoperative protocol that allowed early postoperative feeding was well tolerated. The results confirm that the overall prognosis after small intestinal surgery in horses is improved over earlier findings. |
| Databáze: | OpenAIRE |
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