Endoluminal Vacuum Therapy for Ivor Lewis Anastomotic Leaks: A Pilot Study in a Swine Model.

Anastomotic leaks are a serious complication associated with Ivor Lewis esophagectomies. Endoluminal negative pressure vacuum devices create a possible treatment alternative to conventional surgical intervention. Ten pigs had an intrathoracic esophageal anastomosis with a 1-cm defect. The experimental group had the device placed intraoperatively across the defect, whereas the control group did not. Once treatment was completed, a contrast fluoroscopic study and necropsy was performed. All control pigs had contrast extravasation on fluoroscopy and contamination on necropsy. The experimental group had no radiologic leak and no contamination on necropsy. The P value for leak is 0.03. This study demonstrated that endoluminal negative pressure vacuum therapy is tolerated in the swine model and is successful in facilitating the healing of anastomotic leaks. Endoluminal negative pressure vacuum therapy has potential clinical benefits, including decreased morbidity and length of hospital stay.

Prevalence of lesions and body condition scores among female swine at slaughter.

OBJECTIVE: To determine prevalence of foot lesions, dermatitis, shoulder lesions, mammary gland abnormalities, and visceral lesions, and body condition scores among culled female swine at slaughter. DESIGN: Observational study. ANIMALS: Culled gilts and sows killed during a 1-week period at a Midwest slaughterhouse. PROCEDURE: Carcasses were examined, and lesions were recorded. Body condition was scored on the basis of standard criteria. RESULTS: 58.9% (1,029/1,747) of the carcasses had foot lesions, 67.3% (1,178/1,751) had dermatitis, and 4.6% (80/1,751) had shoulder lesions. Body condition score was significantly associated with detection of dermatitis and shoulder lesions. Mean +/- SE number of teats (n = 1,432 carcasses) was 13.86 +/- 0.02. Mean numbers of normal-appearing teats in the left and right mammary chains were 6.57 +/- 0.02 and 6.58 +/- 0.02, respectively. Feet from 48% (688/1,433) of the carcasses were condemned. Visceral lesions were found in 48.8% (624/1,278) of the carcasses; of the carcasses with lesions, 412 (66%) had liver spots, and 268 (42.9%) had pneumonia. CLINICAL IMPLICATIONS: Lesions that potentially could have adversely affected production were found in a large percentage of culled gilts and sows at slaughter. Knowledge of lesions commonly found at slaughter may help direct changes in herd health programs.