{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T10:39:42Z","timestamp":1780569582386,"version":"3.54.1"},"reference-count":41,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,4,19]],"date-time":"2019-04-19T00:00:00Z","timestamp":1555632000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Veterinary Surgery"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine risk factors, especially age, associated with postoperative reflux (POR; &gt;2\u2009L of reflux present upon intubation), high\u2010volume POR (\u226520\u2009L in 24\u2009hours), and short\u2010term outcome after small intestinal (SI) surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p>Retrospective case\u2010control study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Sample population<\/jats:title><jats:p>Horses aged \u226516\u2009years (geriatric; range, 16\u201330; n\u2009=\u200944) and\u2009&lt;16\u2009years (mature; range, 2\u201315; n\u2009=\u200939) with an SI surgical lesion that survived general anesthesia and did not have a second exploratory celiotomy during the same visit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Medical records (2009\u20132015) were reviewed; perioperative variables were evaluated for associations with outcomes by using multivariable logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Postoperative reflux was associated with an increasing packed cell volume at admission (odds ratio [OR], 1.08; 95% CI, 1.00\u20131.16;<jats:italic>P<\/jats:italic>\u2009=\u2009.042) and presence of nasogastric reflux at admission (OR, 4.61; 95% CI, 1.3\u201315.69;<jats:italic>P<\/jats:italic>\u2009=\u2009.014). High\u2010volume POR was associated with an increasing glycemia at admission (OR, 1.19; 95% CI, 1.01\u20131.40;<jats:italic>P<\/jats:italic>\u2009=\u2009.041), presence of nasogastric reflux at admission (OR, 10.05; 95% CI, 2.21\u201345.74;<jats:italic>P<\/jats:italic>\u2009=\u2009.003), and SI resection (OR, 10.52; 95% CI, 1.81\u201361.25;<jats:italic>P<\/jats:italic>\u2009=\u2009.009). Increasing surgical time (OR, 2.50; 95% CI, 1.16\u20135.29;<jats:italic>P<\/jats:italic>\u2009=\u2009.019) and high\u2010volume POR (OR, 6.37; 95% CI, 2.12\u201319.12;<jats:italic>P<\/jats:italic>\u2009=\u2009.001) were associated with nonsurvival.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Age, considered as both a continuous variable and a categorical variable, was not associated with the development of POR, high\u2010volume POR, or nonsurvival.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical significance<\/jats:title><jats:p>Age does not influence the occurrence of POR and should not negatively impact an owner's decision to pursue surgery in aged horses.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vsu.13217","type":"journal-article","created":{"date-parts":[[2019,4,19]],"date-time":"2019-04-19T13:43:05Z","timestamp":1555681385000},"page":"795-802","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Clinical findings associated with development of postoperative reflux and short\u2010term survival after small intestinal surgery in geriatric and mature nongeriatric horses"],"prefix":"10.1111","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2082-7702","authenticated-orcid":false,"given":"Sophie","family":"Boorman","sequence":"first","affiliation":[{"name":"Department of Clinical Studies New Bolton Center, University of Pennsylvania Kennett Square Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darko","family":"Stefanovski","sequence":"additional","affiliation":[{"name":"Department of Clinical Studies New Bolton Center, 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