Appleton Endowed Professor University of Florida, College of Veterinary Medicine Citra, Florida
Jejunocecostomy is regarded as a complicated procedure with low tolerance for minor errors. Much attention has been paid to the stoma size in the side-to-side construction, but this might not be the important issue in failures of this anastomosis. Recent studies suggest that the oversewn end of jejunum might constitute the source of problems, which are largely related to intussusception of the jejunal blind end into the cecum. This would explain why the side-to-side anastomosis with jejunoileal continuity and the hybrid anastomosis with a side-to-side jejunocecostomy, combined with a jejunoileostomy, provide excellent outcomes. This presentation will also describe methods for blind-ending the jejunum and ileum and closing the mesenteric gap that remains after the resection and anastomosis. The "cutting thread" method of creating the stoma will also be described as a clean and efficient technique that produces a consistent stoma. The end-to-side anastomosis will also be described as a lost procedure with overlooked potential in jejunocecostomy.
