Hagyard Equine Medical Institute, Lexington, Kentucky 40511, USA.
Equine Vet J. 2009 Sep;41(7):653-7. doi: 10.2746/042516409x424126.
It has been suggested that the success of gastric bypass surgery in foals for the treatment of gastric outflow obstruction is poor. However, few reports exist evaluating the long-term prognosis of these cases.
To determine the long-term success of foals, including racing records, surgically treated for gastric outflow obstruction secondary to gastroduodenal ulceration.
Medical records of foals undergoing surgical treatment of gastric outflow obstruction secondary to gastroduodenal ulceration were evaluated for clinical information. Owners, trainers and race records were evaluated regarding long-term survival and racing success.
Sixteen foals were included in the study, all treated with a gastrojejunostomy. All foals survived to immediate discharge from the hospital; 8 survived to racing age, with 7 of those entering training and 3 actually racing. Foals that did not survive to racing age had various post operative complications. The success rate for these foals appears somewhat better than that previously reported.
Gastrojejunostomy for the treatment of gastric outflow obstruction, secondary to gastric ulceration, is a valid treatment option for foals.
有研究表明，胃绕道手术治疗胃流出道梗阻的马驹成功率较低。然而，目前评估这些病例长期预后的报道较少。
评估因胃十二指肠溃疡导致胃流出道梗阻而接受手术治疗的马驹的长期预后，包括赛马记录。
评估接受胃十二指肠溃疡继发胃流出道梗阻手术治疗的马驹的临床资料。评估马驹主人、教练和赛马记录，以确定长期存活率和赛马成功率。
本研究纳入 16 例马驹，均行胃空肠吻合术。所有马驹均存活至出院；8 例马驹存活至赛马年龄，其中 7 例进入训练，3 例实际参赛。未存活至赛马年龄的马驹出现各种术后并发症。这些马驹的成功率似乎高于之前的报道。
胃空肠吻合术治疗胃十二指肠溃疡继发胃流出道梗阻是马驹的有效治疗选择。
