Freeman D E
University of Illinois, College of Veterinary Medicine, Urbana, USA.
Vet Clin North Am Equine Pract. 1997 Aug;13(2):261-301. doi: 10.1016/s0749-0739(17)30240-7.
Although earlier reports describe a poor prognosis for small intestinal surgery in the horse, there is growing evidence that the short-term survival rate can exceed 80%. In addition to advancements in surgery and aftercare, early referral contributes considerably to the improved prognosis. Surgical procedures that restore anatomic and physiologic continuity to close to normal can minimize postoperative complications. Jejunojejunostomy carries a better prognosis than jejunocecostomy, probably because the latter involves anastomosis between two intestinal segments with dissimilar functions. Careful technique can reduce the prevalence of complications, such as postoperative ileus and serosal adhesions.
尽管早期报告称马的小肠手术预后不佳，但越来越多的证据表明短期存活率可超过80%。除了手术和术后护理方面的进步外，早期转诊对改善预后有很大贡献。能将解剖和生理连续性恢复至接近正常的外科手术可将术后并发症降至最低。空肠空肠吻合术的预后比空肠盲肠吻合术更好，这可能是因为后者涉及两个功能不同的肠段之间的吻合。精细的技术可降低并发症的发生率，如术后肠梗阻和浆膜粘连。
