{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T15:23:08Z","timestamp":1780413788065,"version":"3.54.1"},"reference-count":36,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,9,9]],"date-time":"2022-09-09T00:00:00Z","timestamp":1662681600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100013664","name":"College of Veterinary Medicine","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100013664","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007698","name":"University of Florida","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007698","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Veterinary Surgery"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare single\u2010layer anastomoses (modified continuous Lembert [mod\u2010CL] and modified\u2010interrupted Lembert [mod\u2010IL]) and a 2\u2010layer simple continuous anastomosis (2\u00a0L; seromuscular and mucosal) for jejunojejunal anastomoses in equine cadavers and to compare ex vivo to in vivo time to complete the anastomosis and stoma size with a mod\u2010IL pattern.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p>Measurements in jejunum from cadaver and anesthetized horses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Animals<\/jats:title><jats:p>Ten live horses and 18 equine cadavers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Time to complete anastomosis, bursting pressures (BP), leakage sites, and anastomotic index (size ratio of anastomotic lumen to control lumen) were recorded. Time to completion and lumen size were compared between in vivo and ex vivo mod\u2010IL patterns.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mod\u2010CL pattern was fastest (8.44\u2009\u00b1\u20091.30\u2009min, <jats:italic>p<\/jats:italic>\u00a0&lt;\u2009.05), and the 2\u00a0L pattern was slower (17.07\u2009\u00b1\u20092.0\u00a0min) than the mod\u2010CL and mod\u2010IL (<jats:italic>p<\/jats:italic>\u00a0&lt;\u2009.05). The anastomotic index exceeded 100 and did not differ between patterns. Segments reached higher bursting pressures when anastomosed with mod\u2010IL (145.94\u2009\u00b1\u200924.18\u2009mm\u2009Hg) than mod\u2010CL (<jats:italic>p<\/jats:italic>\u00a0&lt;\u2009.05). In vivo closure was approximately 8\u00a0minutes slower than ex vivo, and with a smaller anastomotic index.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>All anastomoses increased lumen size over control segments ex vivo. Lumen size after placement of a mod\u2010IL was greater ex vivo than in vivo, and completion was slower in vivo than ex vivo. [Corrections added on 26 Dec 2022, after online publication: added \u201cex vivo\u201d to the first line of Conclusions in the Abstract.]<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical significance<\/jats:title><jats:p>Slower and smaller anastomoses should be anticipated in vivo compared to ex vivo results. Anastomoses with a mod\u2010IL pattern appear clinically advantageous, producing a comparable lumen size in less time than 2\u00a0L.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vsu.13881","type":"journal-article","created":{"date-parts":[[2022,9,9]],"date-time":"2022-09-09T21:30:23Z","timestamp":1662759023000},"page":"407-415","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["<i>Ex vivo<\/i> and <i>in vivo<\/i> evaluation of a modified interrupted Lembert pattern for small intestinal anastomoses in horses"],"prefix":"10.1111","volume":"52","author":[{"given":"Emma","family":"Seitz\u2010Cherner","sequence":"first","affiliation":[{"name":"Rood and Riddle Equine Hospital  Wellington Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anje G.","family":"Bauck","sequence":"additional","affiliation":[{"name":"Island Whirl Equine Colic Research Laboratory, Department of Large Animal Clinical Sciences, 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