背景:小肠梗阻(SBO)是成年马出现绞痛的重要手术原因。SBO通常需要切除和吻合。虽然已经开发了各种用于肠吻合的技术,是否完全满足我们的临床需求仍不确定.
目的:对有关吻合技术和SBO治疗结果的出版物进行范围审查。
方法:范围审查。
方法:使用CAB进行了文献综述,WebofScience,Scopus,和PubMed数据库。同行评议的英文科学文章,包括在1992年至2023年之间出版的。对可能符合条件的文章进行了质量评估。实验研究,病例报告,排除少于5例的病例系列,并从其余文章中提取并绘制研究方法和样本量的相关数据。报道了认为可能适合进行荟萃分析的文章的吻合类型和结果。最终图表排除了仅报告总体结果或未报告吻合类型细节的文章。
结果:在3024篇文章中,210人接受了质量评估。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%)。在进一步排除之后,104条符合纳入标准。仅在42篇文章中报道了有关吻合类型和相对结局的详细数据。据报道,共有23种吻合类型用于SBO的治疗,评估了6种不同的结果。所有类型的吻合术的短期和长期生存率始终超过70%(空肠-空肠,空肠回肠,和空肠)。
结论:非英语语言学习和会议记录被排除在外。
结论:关于SBO手术治疗的大量文献显示出低质量的证据。描述了针对不同病理的几种吻合技术。然而,每种手术技术在报告结果方面缺乏一致性.此外,考虑的结果在研究中差异很大,有时报告不佳,虽然成功率通常很高。总的来说,在比较技术和探索其他创新方法之前,需要对现有和常用技术进行结构更好的研究。
BACKGROUND: Small 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.
OBJECTIVE: To conduct a scoping review of publications on anastomosis techniques and outcomes for the treatment of SBO.
METHODS: Scoping review.
METHODS: A 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.
RESULTS: Of 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).
CONCLUSIONS: Non-English language studies and conference proceedings were excluded.
CONCLUSIONS: The 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.