Simultaneous cecostomy and ileal cannulation with a modified flexible T cannula in gilts

A surgical procedure was developed for the simultaneous cannulation of the ileum and fistulation of the cecum in breeding-age gilts to study the effects of enteric microflora on the nutritional requirements and/or status of the pig. Flexible T-shaped cannulae were made from plastic tubing, placed surgically in the caudal part of the ileum, and exteriorized in the right paralumbar fossa. After the exteriorization of the cecal apex in the right flank area, a cecal fistual was made caudoventral to the ileal cannula. Prececocolonic contents could be collected from the ileal cannulae and/or substances could be infused into the cecum. The flexible cannulae were light weight (35 g), were easily replaced when dislodged with minimal tissue trauma and minimal discomfort to the animal, and had good animal tolerance and patency in long-term experiments. The cecal fistulae allowed the direct introduction of various substances into the cecum. There was little external projection from the abdominal wall, and the fistulae were subject to minimal leakage. The procedure did not adversely affect the subsequent health or performance of the 43 gilts used in the experiment. Postmortem examination of gilts euthanatized 12 to 26 weeks postoperatively revealed normal tissue adhesions around the surgical sites with no detrimental effects on the gastrointestinal tract.