Resection and Anastomosis of the Descending Colon in 43 Horses

Prange, Timo; Holcombe, Susan J.; Brown, Jennifer A.; Dechant, Julie E.; Fubini, Susan L.; Embertson, R. M.; Peroni, John F.; Rakestraw, Peter C.; Hauptman, Joe G.

doi:10.1111/j.1532-950x.2010.00700.x

Cited by 24 publications

(34 citation statements)

References 12 publications

(16 reference statements)

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“…Complications following enterotomy or resection and anastomosis of the small colon in horses, however, are rare, being reported to occur in just under 5% of cases (Prange et al . ), including dehiscence of part of the anastomosis which occurred in one case in the present study. Median survival times following small colon resection have been reported at just under 3 years, which is lower when compared with horses with a primary lesion of the small colon not requiring resection, reported at just under 8.5 years (de Bont et al .…”

Section: Discussionsupporting

confidence: 49%

“…In man, small colon bacterial populations are rich in aerobic and anaerobic bacteria and contain a high level of matrix metalloproteinases (MMPs), with abnormal upregulation of MMPs and disturbances in the extracellular matrix identified in patients with anastomotic leakage following colorectal surgery (Stumpf et al 2005). Complications following enterotomy or resection and anastomosis of the small colon in horses, however, are rare, being reported to occur in just under 5% of cases (Prange et al 2010), including dehiscence of part of the anastomosis which occurred in one case in the present study. Median survival times following small colon resection have been reported at just under 3 years, which is lower when compared with horses with a primary lesion of the small colon not requiring resection, reported at just under 8.5 years (de Bont et al 2013).…”

Section: Discussionmentioning

confidence: 40%

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Idiopathic eosinophilic colitis lesions of the equine small (descending) colon

Bont

Malbon

Blundell

et al. 2016

Equine Veterinary Education

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Summary Five horses with a primary surgical lesion of the small (descending) colon were diagnosed with eosinophilic colitis based on visual and histopathological examination. These were evident as visibly striking, hyperaemic, focal lesions of the small colon, with serosal petechiation, oedema and marked thickening of the intestinal wall at the site. Areas of focal necrosis were also evident. The gross appearance of the lesions were considered to be sufficiently severe in all cases to merit resection, due to concerns about intestinal necrosis and septic peritonitis. An inability to fully exteriorise the affected portion of intestine to perform a resection and anastomosis necessitated intraoperative euthanasia of one horse. A total of three horses survived to hospital discharge. Eosinophilic colitis lesions are a rare cause of severe small colon disease, but should be considered in cases with similar visual characteristics.

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Section: Discussionsupporting

confidence: 49%

Section: Discussionmentioning

confidence: 40%

Idiopathic eosinophilic colitis lesions of the equine small (descending) colon

Bont

Malbon

Blundell

et al. 2016

Equine Veterinary Education

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“…2012), and the latter is the disease most likely to require resection and anastomosis in this organ (Prange et al . ). Typically, these are seen in horses of the same age group as in small intestinal cases (Garcia‐Seco et al .…”

Section: Introductionmentioning

confidence: 97%

A standing pararectal approach to treat small colon obstruction by a pedunculated lipoma

Durket

Albanese

Steward

et al. 2018

Equine Veterinary Education

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Summary In an 18‐year‐old Paso Fino mare presented with mild colic of 36 h duration, a luminal obstruction was found on rectal palpation in the most oral part of the rectum, and this appeared to be caused by a tight band on the left side. A standing procedure was used that involved pararectal dissection with long‐handled instruments to the level of the constricting band, guided by a hand in the rectum. A hooked bistoury designed for treating entrapped epiglottis was used to transect the band, which immediately released the obstruction and allowed manual evacuation of the aboral end of the small colon. The band was most likely the pedicle of a pedunculated lipoma that had encircled the oral end of the rectum. The mare made a complete recovery.

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“…Despite considerable progress in the area of surgery and intensive care, colic remains a major cause of equine morbidity and mortality . Hospital discharge rates of 54.5–70.3% have been reported for horses undergoing colic surgery, and persistent pain/colic, postoperative ileus, endotoxemic shock, peritonitis, colitis/diarrhea, laminitis, jugular thrombophlebitis, or incisional drainage/herniation can complicate the postoperative period …”

Section: Introductionmentioning

confidence: 99%