{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T07:01:33Z","timestamp":1790146893309,"version":"4.0.1"},"reference-count":32,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Veterinary Surgery"],"abstract":"Abstract<\/jats:title>\n \n Objective<\/jats:title>\n To determine the difference in bursting pressure (BP), bursting wall tension (BWT), and closure speed between commonly utilized methods of ileal stump closure.<\/jats:p>\n <\/jats:sec>\n \n Study design<\/jats:title>\n Randomized experimental study.<\/jats:p>\n <\/jats:sec>\n \n Sample population<\/jats:title>\n A total of 71 ileal segments from 18 healthy horses.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Ileum was collected postmortem from 18 horses and divided into four segments. One end of each segment was closed using one of three techniques: Parker\u2010Kerr (PK), gastrointestinal staples (ST), or gastrointestinal staples with a Lembert staple oversew (SO). Closure time was recorded. Control (C) segments were not altered. Segments were distended until failure. BP and infusion volume were documented, and BWT was calculated.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n BP<\/jats:styled-content>\n and\n BWT<\/jats:styled-content>\n were higher for controls compared to all closure methods (\n p<\/jats:italic>\n \u2009< .001). No differences in\n BP<\/jats:styled-content>\n (\n p<\/jats:italic>\n \u2009>\u2009.999) or\n BWT<\/jats:styled-content>\n (\n p<\/jats:italic>\n \u2009>\u2009.77) were found between closure methods.\n ST<\/jats:styled-content>\n technique was 27.1 times faster than\n PK<\/jats:styled-content>\n (\n p<\/jats:italic>\n \u2009<\u2009.001) and 23.4 times faster than\n SO<\/jats:styled-content>\n (\n p<\/jats:italic>\n \u2009<\u2009.001).\n SO<\/jats:styled-content>\n was 1.2 times faster than\n PK<\/jats:styled-content>\n (\n p<\/jats:italic>\n \u2009<\u2009.001). Mechanisms of failure were predictable within each technique.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n No difference in BP or BWT was observed between closure techniques in healthy ileum. ST and SO were significantly faster than PK.<\/jats:p>\n <\/jats:sec>\n \n Clinical significance<\/jats:title>\n The similarity in bursting strength across techniques suggests that closure method should be chosen based on other factors. The ST closure was faster compared to other techniques, and the addition of an oversewing pattern did not improve security of closure.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/vsu.70161","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T06:18:02Z","timestamp":1790144282000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of blind end closure techniques in equine ileum"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6836-0024","authenticated-orcid":false,"given":"Rachel L.","family":"Hilliard","sequence":"first","affiliation":[{"name":"Department of Large Animal Clinical Sciences College of Veterinary Medicine, Michigan State University East Lansing Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3023-7151","authenticated-orcid":false,"given":"Amanda","family":"Prisk","sequence":"additional","affiliation":[{"name":"Department of Large Animal Clinical Sciences Cummings School of Veterinary Medicine, Tufts University North Grafton Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0931-7883","authenticated-orcid":false,"given":"Sichao","family":"Wang","sequence":"additional","affiliation":[{"name":"Center for Statistical Training and Consulting (CSTAT) Michigan State University East Lansing Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4862-6443","authenticated-orcid":false,"given":"Stefanie","family":"Hansen","sequence":"additional","affiliation":[{"name":"Department of Large Animal Clinical Sciences College of Veterinary Medicine, Michigan State University East Lansing Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9922-2129","authenticated-orcid":false,"given":"Amelia","family":"Munsterman","sequence":"additional","affiliation":[{"name":"Department of Large Animal Clinical Sciences College of Veterinary Medicine, Michigan State University East Lansing Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,22]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/evj.13558"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749\u20100739(17)30240\u20107"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781119369257.ch3"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978\u20100\u2010323\u201048420\u20106.00016\u20108"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532\u2010950x.2004.04063.x"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1053\/ctep.2002.35574"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2042\u20103306.1986.tb03642.x"},{"issue":"1","key":"e_1_2_11_9_1","first-page":"67","article-title":"Comparison of hand\u2010sewn and oversewn stapled jejunojejunal anastomoses in horses","volume":"59","author":"Bracamonte JL","year":"2018","journal-title":"Can Vet J Rev Veterinaire Can"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/vsu.12428"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010198503000\u201000019"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cvsm.2011.05.006"},{"issue":"9","key":"e_1_2_11_13_1","doi-asserted-by":"crossref","first-page":"1621","DOI":"10.2460\/ajvr.1988.49.09.1621","article-title":"Comparison of staple and suture techniques for end\u2010to\u2010end anastomosis of the small colon in horses","volume":"49","author":"Hanson R","year":"1988","journal-title":"Am J Vet Res"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/vsu.13405"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/vsu.13274"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2042\u20103306.2011.00423.x"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/vsu.13983"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1038\/nmeth.2089"},{"key":"e_1_2_11_19_1","unstructured":"R Core Team.R: A language and environment for statistical computing. 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