Obstruction of the ileum in the horse: A report of 27 clinical cases

Edwards, Glenn S.

doi:10.1111/j.2042-3306.1981.tb03474.x

Cited by 59 publications

(74 citation statements)

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“…This ratio is somewhat different from other recent surveys (1,3,4), in which these percentages are roughly equal. The ileum is often involved: in our material in approximately 26% of the cases, in that of Edwards (6) in 28% of the cases.…”

Section: Discussionmentioning

confidence: 52%

Results of operative treatment of equine colic with special reference to surgery of the ileum

Kersjes

Brás

Németh

et al. 1988

Veterinary Quarterly

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SUMMARY This retrospective study presents the results of surgical treatment of obstructive colic in horses operated in the last decade (1976)(1977)(1978)(1979)(1980)(1981)(1982)(1983)(1984)(1985). The overall short-term recovery rate (i.e. discharged from hospital) was 51% of casespresented for surgery, and 68% of cases which were considered to be amenable to surgical therapy. For long-term results (6 months -8 years follow up) these percentages must be reduced by about 15% due to mortality after discharge. Special attention has been given to surgery of the ileum, which is often involved in strangulation or obturation, and accounts for about 26% of gastrointestinal surgical disorders. The long-term recovery rate of ileal surgery was 54.3%, but ileocaecal intussusception and jejunocaecostomy with resection have a much poorer prognosis. The results of this study indicate that resection of the ileum should be avoided unless necrosis is present or threatening. The alternative is creation of a shunt between (distal) jejunum and caecum, thus bypassing the ileum and ileocaecal junction and preserving the original anatomical relationships.

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Section: Discussionmentioning

confidence: 52%

Results of operative treatment of equine colic with special reference to surgery of the ileum

Kersjes

Brás

Németh

et al. 1988

Veterinary Quarterly

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“…In two cases (Cases 8 and 10). in which the intussusception proved to be irreducible, a side-to-side ileocaecal anastomosis was performed 20 to 25 cm proximal to the obstruction, without resection (Edwards 1981). In the remaining case following reduction of the intussusception and resection of I m of terminal small intestine continuity was restored by sideto-side jejunocaecal anastomosis.…”

Section: Ileal-ileal Intussusceptionmentioning

confidence: 99%

Surgical management of intussusception in the horse

Edwards

1986

Equine Veterinary Journal

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109

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SummaryDuring a 14 year period, 27 of 310 horses undergoing laparotomy because of abdominal pain were found to have an intussusception involving the small intestine (16 cases) or caecum (11 cases). The clinical signs, operative findings and techniques adopted to overcome the obstruction are described. An evaluation of possible predisposing factors provided further evidence of the important role of the tapeworm Anoplocephala perfoliata in initiating intussusception involving the ileum and caecum.

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“…A modification of this technique, in which the ileum is anastomosed side-to-side to the caecum (Fig 10) without resection, can be used to bypass non-strangulating obstructions of the terminal ileum caused by hypertrophy or ileal-ileal intussusceptions (Edwards 1981). The technique is now used extensively in cases of ileal impaction because a number of horses develop impaction following simple reduction without enterotomy (D. Allen, personal communication).…”

Section: Jejunocaecal Anastomosismentioning

confidence: 99%