A comparative study of end to side jejunocecostomie and side to side jejunocecostomie

A comparative study of end to side jejunocecostomie and side to side jejunocecostomie

Vergleichsstudie über die Jejunocaecostomie als End-zu-Seitanastomose und Seit-zu-Seit-Anastomose

Röcken M, Ross M W

DOI: 10.21836/PEM19940503
Year: 1994
Volume: 10
Issue: 5
Pages: 311-315

The case records 47 horses in which small bowel resection and end to side or side to side jeiunocecostomie were performed were reviewed, to determine the postoperative results of both techniques in a comparative study. As objective prognostic values of individual variables to asses the colic cases of each group, we used the puls rate, PCV, total plasma protein and the protein content of the peritoneal fluid. All these clinical parameters were statistically equal for both procedures. Of the 24 horses which undenvent intestinal resection and end to side anastomosis only 9 horses (37%o) recovered without any problems. 15 horses (63% required a second surgery or died. In 12 of these 15 unsuccessful cases a failure of the anastomosis was responsible for the postoperative complications. 6 horses underwent a second celiotomy with correction of the anastomosis. Two were successful and 4 horses were euthanized later because of recurrent colic. Of the 23 horses with side to side anastomosis 19 horses (83%) recovered uncomplicated and only 4 (l7o/o) developed postoperative complications. 3 horses were euthanized and I horse required a second surgery. The overall result of both techiques was 31 horses (66%) survived and 16 horses( 34%) ere euthanazied or died. The length of bowel resected had statistically no influence on survival in both groups. In all unsuccessful cases the cause of anastomosis failure was revealed by necropsy or second surgery. We demonstrated, that in all these cases the postoperative edema at the anastomotic site was responsible for a significant reduction of the luminal diameter. The result was a obstructive disease and a postoperative adynamic ileus. According to the results of our comparative study the method of choice is the side to side jejunocecostomie.