2001
DOI: 10.2460/ajvr.2001.62.225
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Effects of intraluminal distention and decompression on microvascular permeability and hemodynamics of the equine jejunum

Abstract: Intraluminal distention and decompression of the equine jejunum results in low-flow ischemia and edema, which may contribute to adhesions and ileus in the postoperative period after surgery for obstructions of the small intestines.

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Cited by 62 publications
(58 citation statements)
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“…Arguments for early intervention with a second celiotomy include reduction of ongoing daily costs for supportive therapy and avoiding the deleterious effects of continued small intestinal distension. [14][15][16][17][18] However, because there is a chance of spontaneous resolution of postoperative ileus and considering cost and morbidities associated with a second celiotomy, surgical intervention might be delayed for 48 to 72 hours, depending on surgeons' preference. In a study 19 investigating postoperative ileus after small intestinal surgery, mean duration of postoperative ileus was 64 ± 58 hours (median, 40 hours; range, 1 to 240 hours).…”
Section: Discussionmentioning
confidence: 99%
“…Arguments for early intervention with a second celiotomy include reduction of ongoing daily costs for supportive therapy and avoiding the deleterious effects of continued small intestinal distension. [14][15][16][17][18] However, because there is a chance of spontaneous resolution of postoperative ileus and considering cost and morbidities associated with a second celiotomy, surgical intervention might be delayed for 48 to 72 hours, depending on surgeons' preference. In a study 19 investigating postoperative ileus after small intestinal surgery, mean duration of postoperative ileus was 64 ± 58 hours (median, 40 hours; range, 1 to 240 hours).…”
Section: Discussionmentioning
confidence: 99%
“…Distended intestine located PO to the compromised bowel also is often subject to dilatation and decreased vascular supply. 37,38 Intestinal ischemia can be the cause of gut barrier failure. Depending on the degree of resulting endotoxemia, overall gastrointestinal blood flow will be suppressed, stimulating intestinal ischemia and lactate accumulation.…”
Section: Correlation Of Clinical Variables With Bpl and Pfl Concentramentioning
confidence: 99%
“…Endotoxemia contributes considerably to illness and death in horses recovering from ischemic intestinal disease and subsequent surgery. 8 Although ischemic intestinal tissue is resected when possible at surgery, portions of the injured intestine may remain as a result of distention 9 or the surgeon' s inability to detect or adequately resect all areas of damaged tissue. In fact, in a recent study 10 in horses, serosal injury and neutrophil infiltration were detected in the proximal resection margins of ischemic portions of intestine, indicating that not all damaged intestinal tissue had been removed.…”
mentioning
confidence: 99%