{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T19:21:36Z","timestamp":1782501696236,"version":"3.54.5"},"reference-count":36,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,5,29]],"date-time":"2017-05-29T00:00:00Z","timestamp":1496016000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Veterinary Surgery"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the outcome after early repeat celiotomy in horses operated for jejunal strangulation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p>Retrospective case series.<\/jats:p><\/jats:sec><jats:sec><jats:title>Animals<\/jats:title><jats:p>Horses (n\u2009=\u200922) that underwent repeat celiotomy for postoperative reflux (POR) and\/or postoperative colic (POC) that did not improve within 48 hours from onset after initial surgical treatment of strangulating jejunal lesions by jejunojejunostomy (n\u2009=\u200914) or no resection (n\u2009=\u20098).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Medical records were reviewed for clinical signs, duration of signs before repeat surgery, surgical findings and treatment, and outcome. Survival was documented by phone call at long\u2010term follow\u2010up. The influence of POC and POR on timing of surgery were analyzed. Long\u2010term survival was examined by Kaplan\u2010Meier analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Repeat celiotomy was performed at a median of 57 hours after initial surgery and 16.5 hours from onset of signs, and earlier in horses with POC compared with POR (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.05). A total of 3\/22 horses were euthanatized under anesthesia. A total of 9 of 11 horses with initial jejunojejunostomy required resection of the original anastomosis due to anastomotic complications. In 8 horses without resection, second surgery included resection (4) or decompression (4). Repeat celiotomy was successful in 13\/16 horses with POR. Repeat celiotomy eliminated POC in all horses (n\u2009=\u20099). A total of 19 horses were recovered from anesthesia and all survived to discharge. Incisional infections were diagnosed in 13\/17 horses where both surgeries were performed through the same ventral median approach, and hernias developed in 4\/13 infected incisions. Median survival time was 90 months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Repeat celiotomy can eliminate signs of POR and\/or POC, and the additional surgery does not appear to aggravate POR. Criteria for repeat celiotomy in this study could provide guidelines for managing POC and POR after surgery for jejunal strangulation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vsu.12670","type":"journal-article","created":{"date-parts":[[2017,5,29]],"date-time":"2017-05-29T12:32:57Z","timestamp":1496061177000},"page":"843-850","source":"Crossref","is-referenced-by-count":32,"title":["Response to early repeat celiotomy in horses after a surgical treatment of jejunal strangulation"],"prefix":"10.1111","volume":"46","author":[{"given":"Anje G.","family":"Bauck","sequence":"first","affiliation":[{"name":"Department of Large Animal Clinical Sciences, College of Veterinary Medicine University of Florida Gainesville Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremiah T.","family":"Easley","sequence":"additional","affiliation":[{"name":"Department of Large Animal Clinical Sciences, College of Veterinary Medicine University of Florida Gainesville Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orlaith B.","family":"Cleary","sequence":"additional","affiliation":[{"name":"Department of Large Animal Clinical Sciences, College of Veterinary Medicine University of Florida Gainesville Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8788-9137","authenticated-orcid":false,"given":"Sarah","family":"Graham","sequence":"additional","affiliation":[{"name":"Department of Large Animal Clinical Sciences, College of Veterinary Medicine University of Florida Gainesville Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison J.","family":"Morton","sequence":"additional","affiliation":[{"name":"Department of Large Animal Clinical Sciences, College of Veterinary Medicine University of Florida Gainesville Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna K.","family":"R\u00f6tting","sequence":"additional","affiliation":[{"name":"Department of Comparative Biosciences University of Illinois, College of Veterinary Medicine Urbana Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David J.","family":"Schaeffer","sequence":"additional","affiliation":[{"name":"Department of Comparative Biosciences University of Illinois, College of Veterinary Medicine Urbana Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew D.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Large Animal Clinical Sciences, College of Veterinary Medicine University of Florida Gainesville Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David E.","family":"Freeman","sequence":"additional","affiliation":[{"name":"Department of Large Animal Clinical Sciences, College of Veterinary Medicine University of Florida Gainesville Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,5,29]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"HuskampB BonfigH.Relaparotomy as a therapeutic principle in postoperative complications of horses with colic.Proc Equine Colic Res Symp.1985;2:317\u2010321."},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.1990.tb01118.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"crossref","first-page":"1748","DOI":"10.2460\/javma.1994.205.12.1748","article-title":"Evaluation of factors associated with postoperative ileus in horses: 31 cases (1990\u20101992)","volume":"205","author":"Blikslager AT","year":"1994","journal-title":"J Am Vet Med Assoc."},{"key":"e_1_2_6_5_1","unstructured":"HainischEK ProudmanCJ EdwardsGB.Indications surgical intervention and outcome of relaparotomy in 27 cases. 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