Closed One‐Stage Functional End‐to‐End Jejunojejunostomy in Horses With Use of Linear Stapling Equipment

Abstract

This technique appears to be an acceptable alternative to linearly stapled, side-to-side jejunojejunostomies performed in horses.

In Vitro Evaluation of an Inverted End‐to‐End Equine Jejunojejunal Anastomosis Using Skin Staples

“…The everted anastomosis leaves contaminated mucosa exposed to the abdominal cavity, whereas the inverting pattern is demanding in terms of skills and time 7,8 . Linear gastrointestinal (GIA, gastrointesinal anastomosis, or ILA, intestinal linear anastomosis) staple devices have been used successfully to create true side to side or functional EEA jejunojejunal anastomoses in horses, 9,10 although their cost can be a limiting factor and their use is also not without complications 11–13 . Nevertheless, a major advantage of intestinal stapling instruments is the precision by which staples are applied that ensure an even distribution thus reducing the chance of anastomotic leakage.…”

Clinical assessment and outcome of three techniques for jejunal resection and anastomosis in horses: 59 cases (1989–2000)

“…An alternate technique for FEE anastomosis has been described, which may prevent intussusception at the anastomosis site by eliminating the jejunal stump and creating a circular stoma. 10 In that technique, the stapled anastomosis is performed first, followed by linear stapling and resection across the end of the anastomosis, resulting in everted mucosa and no jejunal stumps. Although no important adhesions or strictures were found after surgery, 1 horse had failure of the anastomotic staple line along the antimesenteric border of the FEE anastomosis.…”

Tissue Strength and Wound Morphology of the Equine Linea Alba After Ventral Median Celiotomy

“…A ventral median celiotomy was performed, beginning at the umbilicus and extending 30 cm cranially. A functional end‐to‐end jejunojejunostomy was performed as part of a concurrent study 9 . The linea alba was closed with an interrupted cruciate pattern using 2 lactomer (Polysorb; US Surgical Corp, Norwalk, CT) with a bite size of 15 mm.…”