Resection and Anastomosis of the Descending Colon in 43 Horses

• Published in: Veterinary surgery 2010-08, Vol.39 (6), p.748-753
• Main Authors: Prange, Timo, Holcombe, Susan J, Brown, Jennifer A, Dechant, Julie E, Fubini, Susan L, Embertson, Rolf M, Peroni, John, Rakestraw, Peter C, Hauptman, Joe G
• Format: Article
• Language: English
• Subjects: anastomosis; Anastomosis, Surgical - methods; Anastomosis, Surgical - veterinary; Animals; Case studies; colon; Colonic Diseases - mortality; Colonic Diseases - surgery; Colonic Diseases - veterinary; digestive system diseases; Female; Gastroenterology; horse diseases; Horse Diseases - mortality; Horse Diseases - surgery; Horses; Male; mortality; postoperative complications; Postoperative Complications - epidemiology; Postoperative Complications - veterinary; Prognosis; resection; Retrospective Studies; Surgery; Survival Analysis; Treatment Outcome; Veterinary medicine
• ISSN: 0161-3499; 1532-950X
• DOI: 10.1111/j.1532-950X.2010.00700.x

To determine (1) the short- (to hospital discharge) and long- (>6 months) term survival, (2) factors associated with short-term survival, and (3) the perioperative course for horses with resection and anastomosis of the descending colon. Multicentered case series. Horses (n=43) that had descending colon resection and anastomosis. Medical records (January 1995-June 2009) of 7 equine referral hospitals were reviewed for horses that had descending colon resection and anastomosis and were recovered from anesthesia. Retrieved data included history, results of clinical and clinicopathologic examinations, surgical findings, postsurgical treatment and complications, and short-term survival (hospital discharge). Long-term survival was defined as survival ≥6 months after hospital discharge. Of 43 horses, 36 (84%) were discharged from the hospital. Twenty-eight of 30 horses with follow-up information survived ≥6 months. No significant associations between perioperative factors and short-term survival were identified. Lesions included strangulating lipoma (n=27), postfoaling trauma (4), infarction (4), intraluminal obstruction (2), and other (6). Common postoperative complications included fever and diarrhea. During hospitalization 7 horses were euthanatized or died because of septic peritonitis (3), endotoxemia (3), and colic and ileus (1). Descending colon resection and anastomosis has a favorable prognosis for hospital discharge and survival ≥6 months. The most common cause of small colon incarceration was strangulating lipoma. Complications include postoperative fever and diarrhea but the prognosis is good after small colon resection and anastomosis.