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Anastomotic techniques for small intestinal obstruction in horses. A scoping review
Equine Veterinary Journal ( IF 2.2 ) Pub Date : 2024-02-21 , DOI: 10.1111/evj.14076
Gessica Giusto 1 , Anna Cerullo 1 , Marco Gandini 1
Affiliation  

BackgroundSmall bowel obstruction (SBO) is a significant cause of surgery in adult horses presenting with colic pain. SBOs often require resection and anastomosis. While various techniques for intestinal anastomoses have been developed, it remains uncertain if any fully meet our clinical needs.ObjectiveTo conduct a scoping review of publications on anastomosis techniques and outcomes for the treatment of SBO.Study designScoping review.MethodsA literature review was conducted using the CAB, Web of Science, Scopus, and PubMed databases. Peer‐reviewed scientific articles in English, published between 1992 and 2023, were included. A quality assessment was performed for potentially eligible articles. Experimental studies, case reports, and case series with less than five cases were excluded and relevant data on study methods and sample size were extracted and charted from remaining articles. Anastomosis type and outcome were reported for articles considered potentially eligible for meta‐analysis. Articles in which only overall outcome was reported or details on type of anastomosis were not reported were excluded for the final charting.ResultsOf 3024 articles, 210 underwent a quality assessment. The most common study designs were case reports and case series (64.3%), followed by experimental studies (17.1%). After further exclusions, 104 articles met the inclusion criteria. In only 42 articles detailed data on type of anastomosis and relative outcome were reported. A total of 23 anastomosis types were reported for the treatment of SBO, with 6 different outcomes evaluated. Both short‐ and long‐term survival rates consistently exceed 70% for all types of anastomosis (jejuno‐jejunal, jejuno‐ileal, and jejunocaecal).Main limitationNon‐English language studies and conference proceedings were excluded.ConclusionThe body of literature focused on surgical treatment for SBO exhibits low‐quality evidence. Several techniques of anastomosis were described for different pathologies. However, there is a lack of homogeneity in reporting outcome for each surgical technique. Furthermore, outcomes considered varied significantly among studies and were sometimes poorly reported, although success rates are generally high. Overall, there is a need for better‐structured studies on existing and commonly used techniques before comparing techniques and exploring other innovative approaches.

中文翻译:

马小肠梗阻的吻合技术。范围审查

背景小肠梗阻(SBO)是成年马因绞痛而接受手术的一个重要原因。SBO 通常需要切除和吻合。虽然已经开发了各种肠吻合技术,但仍不确定是否有完全满足我们的临床需求。目的对有关 SBO 治疗的吻合技术和结果的出版物进行范围审查。研究设计范围审查。方法使用文献综述进行CAB、Web of Science、Scopus 和 PubMed 数据库。其中包括 1992 年至 2023 年间发表的经过同行评审的英文科学文章。对可能符合条件的文章进行了质量评估。排除实验研究、病例报告和少于五例的病例系列,并从剩余文章中提取研究方法和样本量的相关数据并绘制图表。报告了被认为可能符合荟萃分析条件的文章的吻合类型和结果。仅报告总体结果或未报告吻合类型细节的文章被排除在最终图表中。结果 在 3024 篇文章中,210 篇接受了质量评估。最常见的研究设计是病例报告和病例系列(64.3%),其次是实验研究(17.1%)。经过进一步排除,符合纳入标准的文章有104篇。仅 42 篇文章报告了有关吻合类型和相关结果的详细数据。总共报告了 23 种用于治疗 SBO 的吻合类型,并评估了 6 种不同的结果。所有类型的吻合术(空肠-空肠、空肠-回肠和空肠盲肠)的短期和长期生存率始终超过 70%。主要限制非英语语言研究和会议记录被排除。结论文献主体集中于外科手术SBO 治疗的证据质量较低。描述了针对不同病理的几种吻合技术。然而,每种手术技术的结果报告缺乏同质性。此外,尽管成功率普遍较高,但不同研究所考虑的结果差异很大,有时报告也很差。总体而言,在比较技术和探索其他创新方法之前,需要对现有和常用的技术进行更好的结构研究。
更新日期:2024-02-21
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