Journals on Regenerative Diseases - BJSTR Journal

Abstract

#Ileocecal intussusceptions represent a not rare cause of colic in horses; different technique is described to surgically treat this lesion and the report point its attention to the #partial ileal bypass focusing on the long term follow-up and possible complications of this procedure. Six horses presented for signs of abdominal pain underwent a clinical, #ultrasonographic and #rectal examination where a presumptive diagnosis of ileocecal intussusception was made in all but one patient. All horses underwent exploratory laparotomy where a definitive diagnosis of ileocecal intussusception was made; #a jejuno-cecostomy with no resection of the ileum (partial ileal bypass) and no reduction of the lesion was performed in all the patients. The follow up revealed no long-term complications in all the horses. Colic can be considered as one of the leading causes of death in horses, and although the majority of cases can be managed with a medical approach, a small percentage requires surgery to avoid a fatal outcome [1]. Several studies in recent decades have investigated the survival rates and complications after colic surgery, focusing attention on the variables that may affect the outcome [2- 4]. According to one study [2], surgical lesions affecting the ileum, or the ileocecal junction were found in 6.6% of a group of 300 horses; ileocecal intussusception occurred in 1.3% of the entire sample. This lesion often occurs in young horses, and the initial clinical signs vary from an acute colic syndrome to chronic weight loss and poor body condition. Ileocecal intussusceptions are not always easy to diagnose on clinical examination because of the position of this organ in the abdomen. Surgical treatment of this part of the small intestine can be challenging because of the inability to exteriorize the most caudal part of the ileum, close to the ileocecal junction. Different surgical approaches can be considered for the treatment of ileocecal intussusceptions. English language literature includes studies describing manual reduction of the lesion or resection of the involved segments and a subsequent complete bypass of the ileum, jejunocecostomy with transection of the ileum [2,5,6].

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Outcome After Partial Ileal Bypass for the Treatment of #IleocecalIntussusception in 6 Horses by Nicola Pilati in BJSTR