{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T02:52:11Z","timestamp":1770432731476,"version":"3.49.0"},"reference-count":12,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2010,1,5]],"date-time":"2010-01-05T00:00:00Z","timestamp":1262649600000},"content-version":"vor","delay-in-days":583,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["beva.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Equine Veterinary Journal"],"published-print":{"date-parts":[[2008,6]]},"abstract":"Summary<\/jats:title>\n \n Reasons for performing study<\/jats:italic>\n : Based on clinical observation, it is hypothesised that horses with duodenitis\u2010proximal jejunitis (DPJ) that are treated surgically have a shorter duration, smaller volume, and slower rate of nasogastric reflux (NGR) compared to horses treated medically, are more likely to develop diarrhoea than medically managed cases, and have a higher incisional infection rate than a sample population of horses undergoing abdominal exploration for gastrointestinal disease other than DPJ.\n <\/jats:p>\n \n Objectives<\/jats:italic>\n : To compare: 1) duration, volume and rate of NGR and the percentage of horses with diarrhoea between medically and surgically treated DPJ cases; and 2) incisional infection rate in horses with DPJ undergoing abdominal exploration to a sample population of horses undergoing abdominal exploration for gastrointestinal disease other than DPJ.\n <\/jats:p>\n \n Methods<\/jats:italic>\n : Medical records of cases with DPJ diagnosed 1995\u20132006 were reviewed. Information obtained included subject details, presenting clinical findings, treatment category (medical\/surgical), complications (diarrhoea, incisional infection), and outcome (survival\/nonsurvival). Data were analysed using a Chi\u2010squared test and a mixed model analysis of variance. Level of significance was P<0.05.\n <\/jats:p>\n \n Results<\/jats:italic>\n : Compared to medical cases, surgical cases had significantly decreased survival, a longer duration and larger total volume of NGR, and were more likely to develop diarrhoea. The incisional infection rate for horses with DPJ undergoing abdominal exploration was 16% compared to 7% for the sample population of horses.\n <\/jats:p>\n \n Conclusions<\/jats:italic>\n : Surgical treatment of horses with DPJ did not lead to resolution of NGR faster than medical treatment. Surgical cases were more likely to develop diarrhoea and did not have a significantly higher incisional infection rate than the sample population.\n <\/jats:p>\n \n Potential relevance<\/jats:italic>\n : Surgical intervention did not appear to lessen the volume or duration of NGR. It is mainly indicated as a diagnostic aid in cases of DPJ that are difficult to differentiate from small intestinal mechanical obstruction.\n <\/jats:p>","DOI":"10.2746\/042516408x302492","type":"journal-article","created":{"date-parts":[[2008,9,12]],"date-time":"2008-09-12T03:48:49Z","timestamp":1221191329000},"page":"373-378","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Complications and survival associated with surgical compared with medical management of horses with duodenitis\u2010proximal jejunitis"],"prefix":"10.1111","volume":"40","author":[{"given":"C.","family":"UNDERWOOD","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L. L.","family":"SOUTHWOOD","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. P.","family":"McKEOWN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"KNIGHT","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2010,1,5]]},"reference":[{"key":"e_1_2_1_2_1","unstructured":"Blackwell R.B.andWhite N.A.(1982)Duodenitis \u2010proximal jejunitis in the horse.Proceedings of the Equine Colic Research Symposium p106."},{"key":"e_1_2_1_3_1","doi-asserted-by":"crossref","first-page":"250","DOI":"10.2460\/javma.1994.204.02.250","article-title":"Prevalence and factors associated with development of laminitis in horses with duodenitis\/ proximal jejunitis: 33 cases (1985\u20101991)","volume":"204","author":"Cohen N.D.","year":"1994","journal-title":"J. Am. vet. med. 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Ass."},{"key":"e_1_2_1_9_1","doi-asserted-by":"crossref","first-page":"849","DOI":"10.2460\/javma.1987.191.07.849","article-title":"Comparison of duodenitis\/proximal jejunitis and small intestinal obstruction in horses: 68 cases (1977\u20101985)","volume":"191","author":"Johnston J.K.","year":"1987","journal-title":"J. Am. vet. med. Ass."},{"key":"e_1_2_1_10_1","first-page":"69","article-title":"A retrospective comparison of surgical to medical management of proximal enteritis in the horse","volume":"34","author":"Leeth B.","year":"1989","journal-title":"Proc. Am. Ass. equine Practnrs."},{"key":"e_1_2_1_11_1","first-page":"1197","article-title":"Duodenitis\/proximal jejunitis in horses","volume":"16","author":"Schumacher J.","year":"1994","journal-title":"Comp. cont. Educ. pract. 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