{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,8]],"date-time":"2025-11-08T13:28:21Z","timestamp":1762608501442},"reference-count":21,"publisher":"American Veterinary Medical Association (AVMA)","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2021,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:sec id=\"s001\">\n<jats:title>CASE DESCRIPTION<\/jats:title>\n<jats:p>7 horses (3 geldings, 2 mares, and 2 stallions) were examined because of acute colic caused by small intestinal obstruction involving the aborad portion of the jejunum and orad portion of the ileum.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s002\">\n<jats:title>CLINICAL FINDINGS<\/jats:title>\n<jats:p>All horses underwent a routine colic examination on arrival and had a diagnosis of strangulating obstruction of the small intestine.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s003\">\n<jats:title>TREATMENT AND OUTCOME<\/jats:title>\n<jats:p>All horses underwent emergency exploratory laparotomy, in which the affected aborad portion of the jejunum and orad portion of the ileum were resected; in 5 horses, a hand-sewn end-to-end jejuno-ileal anastomosis was combined with a hand-sewn incomplete ileocecal bypass to produce a hybrid jejuno-ileo-cecal anastomosis. In 2 horses, the hand-sewn end-to-end jejuno-ileal anastomosis was combined with a half-stapled, half\u2013hand-sewn incomplete ileocecal bypass. The procedures restored continuity of the small intestine with partial bypass of the ileocecal valve. All horses survived to hospital discharge, and none developed colic or ileus during the postoperative period. Follow-up revealed that 6 horses were living and had no subsequent signs of colic (4 to 17 months after surgery), and 1 was euthanized because of colic 17 months after surgery.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s004\">\n<jats:title>CLINICAL RELEVANCE<\/jats:title>\n<jats:p>Results for these horses suggested the hybrid jejuno-ileo-cecal anastomosis could be considered as an option for the resolution of small intestinal strangulating lesions involving the orad portion of the ileum. Studies are needed to assess short-term and long-term effects of the procedure in horses.<\/jats:p>\n<\/jats:sec>","DOI":"10.2460\/javma.20.10.0577","type":"journal-article","created":{"date-parts":[[2021,11,4]],"date-time":"2021-11-04T18:52:35Z","timestamp":1636051955000},"page":"1337-1343","source":"Crossref","is-referenced-by-count":7,"title":["Combination of end-to-end jejuno-ileal anastomosis and side-to-side incomplete ileocecal bypass (hybrid jejuno-ileo-cecal anastomosis) following subtotal ileal resection in seven horses"],"prefix":"10.2460","volume":"259","author":[{"given":"Marco","family":"Gandini","sequence":"first","affiliation":[{"name":"From the Department of Veterinary Science, University of Turin, 10095 Grugliasco TO, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gessica","family":"Giusto","sequence":"additional","affiliation":[{"name":"From the Department of Veterinary Science, University of Turin, 10095 Grugliasco TO, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1272","reference":[{"issue":"2","key":"ref1","series-title":"Animals (Basel).","doi-asserted-by":"publisher","first-page":"403","DOI":"10.3390\/ani11020403","article-title":"Incomplete ileocecal bypass for ileal pathology in horses: 21 cases (2012\u20132019)","volume":"11","author":"Giusto G","year":"2021","unstructured":"Giusto G, Cerullo A, Labate F, Gandini M. Incomplete ileocecal bypass for ileal pathology in horses: 21 cases (2012\u20132019). Animals (Basel). 2021;11(2):403.10.3390\/ani11020403"},{"key":"ref2","series-title":"Equine Surgery","first-page":"536","article-title":"Jejunum and ileum","author":"Freeman DE","year":"2018","unstructured":"Freeman DE. Jejunum and ileum. In: Auer JA, Stick JA, K\u00fcmmerle JM, Prange T, eds. Equine Surgery. 5th ed. Saunders; 2018:536\u2013574."},{"issue":"2","key":"ref3","series-title":"Equine Vet J.","doi-asserted-by":"publisher","first-page":"181","DOI":"10.2746\/042516407X171354","article-title":"Differential survival in horses requiring end-to-end jejunojejunal anastomosis compared to those requiring side-to-side jejunocaecal anastomosis","volume":"39","author":"Proudman CJ","year":"2007","unstructured":"Proudman CJ, Edwards GB, Barnes J. Differential survival in horses requiring end-to-end jejunojejunal anastomosis compared to those requiring side-to-side jejunocaecal anastomosis. 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