{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T03:20:38Z","timestamp":1787887238274,"version":"build-2784847793"},"reference-count":36,"publisher":"American Veterinary Medical Association (AVMA)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2018,8,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    <jats:bold>OBJECTIVE<\/jats:bold>\n                    To compare the incidence of intra-abdominal complications in dogs following resection and functional end-to-end stapled anastomosis (FEESA) versus anastomosis with an end-to-end sutured technique for treatment of enteric lesions.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>DESIGN<\/jats:bold>\n                    Multicenter, retrospective descriptive cohort study.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>ANIMALS<\/jats:bold>\n                    180 dogs.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>PROCEDURES<\/jats:bold>\n                    Medical records of dogs undergoing intestinal resection and anastomosis at 3 nonaffiliated private practice specialty centers were retrospectively reviewed. Preoperative clinical variables, indication for surgery, surgical technique (sutured end-to-end anastomosis vs FEESA), and evidence of postoperative anastomosis site leakage (dehiscence) were recorded. Variables of interest were analyzed for associations with dehiscence.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>RESULTS<\/jats:bold>\n                    Dehiscence rates of sutured and stapled anastomoses were 12 of 93 (13%) and 4 of 87 (5%), respectively; odds of postoperative dehiscence were significantly lower for dogs with FEESAs than for dogs with sutured anastomoses (OR, 0.28; 95% confidence interval, 0.09 to 0.94). Among dogs that underwent surgery for treatment of intestinal dehiscence after surgery at another facility, subsequent dehiscence developed in 3 of 5 with sutured anastomoses and 0 of 11 with stapled anastomoses. Dehiscence rates varied significantly among clinics. No other variable was associated with risk of dehiscence. Eleven of 16 dogs with dehiscence were euthanized without additional surgery. Impaction at the anastomosis site was identified months or years after surgery in 3 dogs (4 anastomosis sites) that had FEESAs.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>CONCLUSIONS AND CLINICAL RELEVANCE<\/jats:bold>\n                    Odds for dehiscence were significantly greater for sutured end-to-end anastomoses than FEESAs, and dogs undergoing surgery for previous dehiscence were significantly more likely to experience a subsequent dehiscence with a sutured anastomosis. However, variability of procedure types and dehiscence rates among clinics suggested further research is needed to confirm these findings. Obstruction at the anastomosis site was identified as a potential long-term complication of FEESA.\n                  <\/jats:p>","DOI":"10.2460\/javma.253.4.437","type":"journal-article","created":{"date-parts":[[2018,7,30]],"date-time":"2018-07-30T10:58:29Z","timestamp":1532948309000},"page":"437-443","source":"Crossref","is-referenced-by-count":37,"title":["Intra-abdominal complications following intestinal anastomoses by suture and staple techniques in dogs"],"prefix":"10.2460","volume":"253","author":[{"given":"Christine M.","family":"DePompeo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Bond","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yelena E.","family":"George","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marguerite J.","family":"Mezzles","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeff D.","family":"Brourman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John C.","family":"Chandler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean M.","family":"Murphy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fred","family":"Pike","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David R.","family":"Mason","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1272","reference":[{"key":"ref1","series-title":"Am J Surg","doi-asserted-by":"publisher","first-page":"800","DOI":"10.1016\/0002-9610(83)90144-7","article-title":"Breaking strength of intestinal anastomoses","volume":"145","author":"J\u00f6nsson","year":"1983"},{"key":"ref2","series-title":"J Am Vet Med Assoc","doi-asserted-by":"publisher","first-page":"73","DOI":"10.2460\/javma.2003.223.73","article-title":"Risk factors for leakage following intestinal anastamosis in dogs and cats: 115 cases (1991\u20132000)","volume":"223","author":"Ralphs","year":"2003"},{"key":"ref3","series-title":"J Am Anim Hosp Assoc","first-page":"70","article-title":"Prevalence of small intestinal dehiscence and associated clinical factors: a retrospective study of 121 dogs","volume":"28","author":"Allen","year":"1992"},{"key":"ref4","series-title":"J Am Anim Hosp Assoc","doi-asserted-by":"publisher","first-page":"542","DOI":"10.5326\/15473317-36-6-542","article-title":"Use of skin staples for rapid closure of gastrointestinal incisions in the treatment of canine linear foreign bodies","volume":"36","author":"Coolman","year":"2000"},{"key":"ref5","series-title":"Arq Bras Cir Dig","first-page":"18","article-title":"Comparative study of cotton, polyglactin, and polyglecaprone sutures in intestinal anastomoses in dogs","volume":"26","author":"Bernis-Filho","year":"2013"},{"key":"ref6","series-title":"Surg Gynecol Obstet","first-page":"792","article-title":"A comparison of end-to-end staple and suture colorectal anastomosis in the dog","volume":"152","author":"Polglase","year":"1981"},{"key":"ref7","series-title":"J Am Vet Med Assoc","first-page":"1507","article-title":"Comparison of a continuous suture pattern with a simple interrupted pattern for enteric closure in dogs and cats: 83 cases (1991\u20131997)","volume":"214","author":"Weisman","year":"1999"},{"key":"ref8","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"293","DOI":"10.1053\/jvet.2000.7539","article-title":"Comparison of skin staples with sutures for the anastomosis of the small intestine in dogs","volume":"29","author":"Coolman","year":"2000"},{"key":"ref9","series-title":"Vet Clin North Am Small Anim Pract","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1016\/S0195-5616(94)50154-2","article-title":"Surgical stapling of the small intestine","volume":"24","author":"Ullman","year":"1994"},{"key":"ref10","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"385","DOI":"10.1111\/j.1532-950X.1991.tb00344.x","article-title":"Open intestinal anastomosis with surgical stapling equipment in 24 dogs and cats","volume":"20","author":"Ullman","year":"1991"},{"key":"ref11","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"341","DOI":"10.1111\/j.1532-950X.2007.00275.x","article-title":"Surgial stapling devices in veterinary medicine: a review","volume":"36","author":"Tobias","year":"2007"},{"key":"ref12","series-title":"J Small Anim Pract","doi-asserted-by":"publisher","first-page":"274","DOI":"10.1111\/j.1748-5827.2007.00499.x","article-title":"Modified functional end-to-end stapled intestinal anastomosis: technique and clinical results in 15 dogs","volume":"49","author":"White","year":"2008"},{"key":"ref13","series-title":"Eur J Surg","doi-asserted-by":"publisher","first-page":"710","DOI":"10.1080\/11024159950189799","article-title":"Continuous single-layer anastomoses with monofilament poliglecaprone sutures in abdominal surgery","volume":"165","author":"Samel","year":"1999"},{"key":"ref14","series-title":"Dis Colon Rectum","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1007\/BF02554084","article-title":"The experimental basis of intestinal suturing. Effect of surgical technique, inflammation, and infection on enteric wound healing","volume":"27","author":"Ballantyne","year":"1984"},{"key":"ref15","series-title":"J Am Vet Med Assoc","doi-asserted-by":"publisher","first-page":"1713","DOI":"10.2460\/javma.2004.225.1713","article-title":"Foreign body attachment to polypropylene suture material extruded into the small intestinal lumen after enteric closure in three dogs","volume":"225","author":"Milovancev","year":"2004"},{"key":"ref16","series-title":"Surg Gynecol Obstet","first-page":"51","article-title":"The importance of the apposition of the submucosal intestinal layers for primary wound healing of intestinal anastomosis","volume":"152","author":"Jansen","year":"1981"},{"key":"ref17","series-title":"Surg Clin North Am","doi-asserted-by":"publisher","first-page":"549","DOI":"10.1016\/S0039-6109(05)70568-5","article-title":"Healing in the intestinal tract","volume":"77","author":"Thornton","year":"1997"},{"key":"ref18","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1111\/j.1532-950X.2010.00784.x","article-title":"One stage functional end-to-end stapled intestinal anastomosis and resection performed by nonexpert surgeons for the treatment of small intestinal obstruction in 30 dogs","volume":"40","author":"Jardel","year":"2011"},{"key":"ref19","series-title":"Am J Vet Res","doi-asserted-by":"publisher","first-page":"644","DOI":"10.2460\/ajvr.76.7.644","article-title":"In vitro comparison of leakage pressure and leakage location for various staple line offset configurations in functional end-to-end stapled small intestinal anastomoses of canine tissues","volume":"76","author":"Hansen","year":"2015"},{"key":"ref20","series-title":"Ann Surg","doi-asserted-by":"publisher","first-page":"360","DOI":"10.1097\/00000658-198503000-00019","article-title":"Accelerated wound healing with stapled enteric suture lines","volume":"201","author":"Ballantyne","year":"1985"},{"key":"ref21","series-title":"Am J Surg","doi-asserted-by":"publisher","first-page":"563","DOI":"10.1016\/0002-9610(81)90426-8","article-title":"Vascularity of gastrointestinal staple lines demonstrated with silicone rubber injection","volume":"142","author":"Smith","year":"1981"},{"key":"ref22","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1111\/vsu.12413","article-title":"Risk factors for dehiscence of stapled functional end-to-end intestinal anastomoses in dogs: 53 cases (2001\u20132012)","volume":"45","author":"Snowdon","year":"2016"},{"key":"ref23","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1111\/vsu.12428","article-title":"Frequency of dehiscence in hand-sutured and stapled intestinal anastomoses in dogs","volume":"45","author":"Duell","year":"2016"},{"key":"ref24","series-title":"Vet Surg","first-page":"125","article-title":"Influence of preoperative septic peritonitis and anastomotic technique on the dehiscence of enterotomy sites in dogs: a retrospective review of 210 cases","volume":"44","author":"Davis","year":"2018"},{"key":"ref25","series-title":"Ann Surg","doi-asserted-by":"publisher","first-page":"689","DOI":"10.1097\/00000658-197811000-00019","article-title":"The stapled gastrointestinal tract anastomosis","volume":"188","author":"Chassin","year":"1978"},{"key":"ref26","series-title":"Br J Surg","first-page":"337","article-title":"Suturing or stapling in gastrointestinal surgery: a prospective randomized study","volume":"78","year":"1991"},{"key":"ref27","series-title":"J Trauma","doi-asserted-by":"publisher","first-page":"500","DOI":"10.1097\/00005373-199909000-00011","article-title":"Stapled versus sutured gastrointestinal anastomoses in the trauma patient","volume":"47","author":"Brundage","year":"1999"},{"key":"ref28","series-title":"J Trauma","doi-asserted-by":"publisher","first-page":"660","DOI":"10.1097\/00005373-200010000-00013","article-title":"Stapled versus hand sewn anastomoses in patients with small bowel injury: a changing perspective","volume":"49","author":"Witzke","year":"2000"},{"key":"ref29","series-title":"Cochrane Database Syst Rev","first-page":"CD003144","article-title":"Stapled versus hand sewn methods for colorectal anastomosis surgery","volume":"2","author":"Neutzling","year":"2012"},{"key":"ref30","series-title":"Biometrika","doi-asserted-by":"publisher","first-page":"800","DOI":"10.1093\/biomet\/75.4.800","article-title":"A sharper Bonferroni procedure for multiple tests of significance","volume":"75","author":"Hochberg","year":"1988"},{"key":"ref31","series-title":"Model selection and multimodel inference: a practical information theoretic approach","volume":"488","author":"Burnham","year":"1988"},{"key":"ref32","series-title":"Applied logistic regression","volume":"500","author":"Hosmer","year":"2013"},{"key":"ref33","series-title":"Am Surg","doi-asserted-by":"publisher","first-page":"1169","DOI":"10.1177\/000313481107700929","article-title":"Factors influencing the outcome of intestinal anastomosis","volume":"77","author":"Luj\u00e1n","year":"2011"},{"key":"ref34","series-title":"Ann Surg","doi-asserted-by":"publisher","first-page":"512","DOI":"10.1097\/00000658-190604000-00004","article-title":"IV. The movements of the stomach and intestines in some surgical conditions","volume":"43","author":"Cannon","year":"1906"},{"key":"ref35","series-title":"Dig Dis Sci","doi-asserted-by":"publisher","first-page":"2489","DOI":"10.1007\/s10620-009-1040-9","article-title":"Comparison of postoperative motility in hand-sewn end-to-end anastomosis and functional end-to-end anastomosis: an experimental study in conscious dogs","volume":"55","author":"Toyomasu","year":"2010"},{"key":"ref36","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"417","DOI":"10.1111\/j.1532-950X.2008.00478.x","article-title":"Trichobezoar obstruction after stapled jejunal anastomosis in a dog","volume":"38","author":"Carobbi","year":"2009"}],"container-title":["Journal of the American Veterinary Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/253\/4\/javma.253.4.437.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/253\/4\/javma.253.4.437.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/253\/4\/javma.253.4.437.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T07:00:21Z","timestamp":1741330821000},"score":1,"resource":{"primary":{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/253\/4\/javma.253.4.437.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8,15]]},"references-count":36,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.2460\/javma.253.4.437","relation":{},"ISSN":["0003-1488"],"issn-type":[{"value":"0003-1488","type":"print"}],"subject":[],"published":{"date-parts":[[2018,8,15]]}}}