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Modified stapled jejunocecostomy in horses.

David E Freeman1, Bryana Smith1, Anje G Bauck1

  • 1Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA.

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|October 2, 2025
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Summary
This summary is machine-generated.

A modified stapled jejunocecostomy (JC) technique in horses proved effective and easy to perform. This surgical innovation offers a simplified approach to JC, potentially reducing impaction risks in equine patients.

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Area of Science:

  • Veterinary Surgery
  • Equine Surgery
  • Gastrointestinal Surgery

Background:

  • Jejunocecostomy (JC) is a surgical procedure to connect the jejunum to the cecum.
  • Traditional JC techniques can be complex and time-consuming.
  • Minimizing surgical complications and improving outcomes in equine gastrointestinal surgery is crucial.

Purpose of the Study:

  • To develop and evaluate a modified stapled (MS) technique for jejunocecostomy (JC) in healthy horses.
  • To assess the feasibility, safety, and efficacy of the MS JC procedure.
  • To compare the MS JC technique with historical data of stapled side-to-side (SS) JC.

Main Methods:

  • An in vivo experimental study involving six healthy adult horses.
  • Ventral midline celiotomy, jejunal resection, and MS jejunocecostomy (JC).
  • Postoperative monitoring included physical examinations, and assessment of anastomosis at necropsy. A historical control group (n=7) with SS JC was used for comparison.

Main Results:

  • The MS JC technique was performed with ease in all horses.
  • Horses recovered well with only transient mild colic, pyrexia, or diarrhea in some cases.
  • Gross examination at necropsy showed well-healing MS anastomoses forming a wide, triangulated stoma, with no significant differences in anastomosis time or lumen size compared to SS JC.

Conclusions:

  • The modified stapled (MS) jejunocecostomy (JC) is a safe and effective technique in horses.
  • The MS JC facilitates a triangulated stoma, potentially reducing impaction risks.
  • This simplified technique, using a single stapler application, offers a cost-effective alternative to traditional methods.