J Am Vet Med Assoc. 2021 Nov 1;259(11):1337-1343. doi: 10.2460/javma.20.10.0577.
7 horses (3 geldings, 2 mares, and 2 stallions) were examined because of acute colic caused by small intestinal obstruction involving the aborad portion of the jejunum and orad portion of the ileum.
All horses underwent a routine colic examination on arrival and had a diagnosis of strangulating obstruction of the small intestine.
All horses underwent emergency exploratory laparotomy, in which the affected aborad portion of the jejunum and orad portion of the ileum were resected; in 5 horses, a hand-sewn end-to-end jejuno-ileal anastomosis was combined with a hand-sewn incomplete ileocecal bypass to produce a hybrid jejuno-ileo-cecal anastomosis. In 2 horses, the hand-sewn end-to-end jejuno-ileal anastomosis was combined with a half-stapled, half-hand-sewn incomplete ileocecal bypass. The procedures restored continuity of the small intestine with partial bypass of the ileocecal valve. All horses survived to hospital discharge, and none developed colic or ileus during the postoperative period. Follow-up revealed that 6 horses were living and had no subsequent signs of colic (4 to 17 months after surgery), and 1 was euthanized because of colic 17 months after surgery.
Results for these horses suggested the hybrid jejuno-ileo-cecal anastomosis could be considered as an option for the resolution of small intestinal strangulating lesions involving the orad portion of the ileum. Studies are needed to assess short-term and long-term effects of the procedure in horses.
7 匹马（3 匹公马，2 匹母马，2 匹种马）因小肠梗阻导致急性腹痛而接受检查，涉及空肠的近端和回肠的近端。
所有马在到达时都接受了常规的绞痛检查，并诊断为小肠绞窄性梗阻。
所有马都接受了紧急剖腹探查术，其中受影响的空肠近端和回肠近端被切除；在 5 匹马中，进行了手工端端空肠-回肠吻合术，并结合手工不完全回盲旁路术，形成混合空肠-回肠-盲肠吻合术。在 2 匹马中，进行了手工端端空肠-回肠吻合术，并结合半吻合钉合、半手工不完全回盲旁路术。这些手术恢复了小肠的连续性，并部分旁路回盲瓣。所有马都存活至出院，术后均未出现绞痛或肠梗。随访显示，6 匹马仍存活，且术后无后续绞痛迹象（术后 4 至 17 个月），1 匹马因术后 17 个月出现绞痛而被安乐死。
这些马的结果表明，混合空肠-回肠-盲肠吻合术可被视为解决涉及回肠近端的小肠绞窄性病变的一种选择。需要研究该手术在马中的短期和长期效果。
