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Evaluation of Intestinal Staples for End-to-end Anastomosis of the Small Intestine in the Horse
Authors:KENNETH E SULLINS dvm  ms  TED S STASHAK dvm  ms  diplomateacvs KENDALL N MERO dvm  ms
Institution:Departments of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, Colorado;Departments of Pathology, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, Colorado
Abstract:Segments of jejunum that had been subjected to ischemia 1 month previously were resected en bloc in six horses. Everted end-to-end anastomoses were performed by application of double rows of stainless steel staples. The anastomotic sites were examined at 3 weeks, 3 months, 6 months, and 8 months postoperatively. All but one of the horses experienced colic at some point after the second postoperative week. At 3 weeks, there was extensive adhesion and stricture formation associated with the anastomoses. With increasing time postoperatively, there were progressively less severe adhesions and strictures. At 6 and 8 months, there was separation of the muscularis with noticeable thinning at the anastomotic site.
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