{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T09:03:43Z","timestamp":1771232623659,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,7,10]],"date-time":"2022-07-10T00:00:00Z","timestamp":1657411200000},"content-version":"am","delay-in-days":365,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#am"},{"start":{"date-parts":[[2021,7,10]],"date-time":"2021-07-10T00:00:00Z","timestamp":1625875200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100005825","name":"National Institute of Food and Agriculture","doi-asserted-by":"publisher","award":["1021791"],"award-info":[{"award-number":["1021791"]}],"id":[{"id":"10.13039\/100005825","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Veterinary Surgery"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare end\u2010to\u2010end jejunal anastomoses with a one\u2010layer (Utrecht) and two\u2010layer (simple continuous\/Cushing) patterns.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Experimental study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Animals<\/jats:title><jats:p>Eight healthy adult horses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Jejunal end\u2010to\u2010end anastomoses were performed in randomly assigned one\u2010layer or two\u2010layer patterns. Horses were recovered from surgery and monitored for complications. At 14\u2009days, the opposite pattern was performed (cross\u2010over design) prior to euthanasia. Duration of closures was compared between patterns. Serosal width was measured before harvesting anastomotic sites from the first procedure. Luminal diameter was measured, and sections were collected for histological evaluation of heating after routine and immunohistochemical staining.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One\u2010layer closure was faster (716\u2009\u00b1\u200986\u2009s) than two\u2010layer closures (1136\u2009\u00b1\u2009111\u2009s). Postoperative complications were minimal. No difference was detected in lumen size between groups. The lumen was reduced by 18% after one\u2010layer and 15% after two\u2010layer closures (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.34). Serosal adhesions to the mesentery without clinical evidence of obstruction were observed in two horses with two\u2010layer closure. Histopathological scores for inflammation, infection, and healing did not differ between groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Jejunal anastomosis with one\u2010layer Utrecht technique was about 7\u00a0min faster and led to similar luminal reduction and histological healing scores as two\u2010layer jejunojejunostomies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Significance<\/jats:title><jats:p>The outcomes of one\u2010layer Utrecht jejunojejunostomies in healthy horses justify clinical evaluation of this technique.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vsu.13679","type":"journal-article","created":{"date-parts":[[2021,7,10]],"date-time":"2021-07-10T13:53:35Z","timestamp":1625925215000},"page":"1483-1494","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Comparison of one\u2010layer Utrecht pattern with two\u2010layer (simple continuous\/Cushing) pattern for jejunojejunostomy in healthy horses in vivo"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9434-9857","authenticated-orcid":false,"given":"Holly A.","family":"Roessner","sequence":"first","affiliation":[{"name":"New Bolton Center, Department of Clinical Sciences The University of Pennsylvania  Kennett Square Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3767-0273","authenticated-orcid":false,"given":"Samuel D.","family":"Hurcombe","sequence":"additional","affiliation":[{"name":"New Bolton Center, Department of Clinical Sciences The University of Pennsylvania  Kennett Square Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6182-2276","authenticated-orcid":false,"given":"Chelsea E.","family":"Klein","sequence":"additional","affiliation":[{"name":"New Bolton Center, Department of Clinical Sciences The University of Pennsylvania  Kennett Square Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0329-3083","authenticated-orcid":false,"given":"Klaus","family":"Hopster","sequence":"additional","affiliation":[{"name":"New Bolton Center, Department of Clinical Sciences The University of Pennsylvania  Kennett Square Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9057-2093","authenticated-orcid":false,"given":"Julie B.","family":"Engiles","sequence":"additional","affiliation":[{"name":"New Bolton Center, Department of Clinical Sciences The University of Pennsylvania  Kennett Square Pennsylvania 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