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Jejunocolic Anastomosis for the Surgical Management of Recurrent Cecal Impaction in a Horse
Authors:M W ROSS DVM  DiplomateACVS    J A ORSINI DVM  DiplomateACVS  S J EHNEN VMD
Institution:Department of Clinical Studies, New Bolton Center, University of Pennsylvania, Kennett Square 19348.
Abstract:A 5-year-old Thoroughbred gelding with recurrent cecal impaction refractory to medical management was treated with a side-to-side jejunocolic anastomosis. Cecal impaction did not recur after surgery. The horse gained weight and performed successfully for 14 months, but experienced three episodes of mild abdominal pain between 14 and 20 months after surgery. Mild cecal gas distention and firm ingesta in the colon were detected on rectal examination. The horse's feces remained soft after surgery, except during the colic episodes when dry, firm feces were passed.
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