ISSN 2398-2942      

Esophagostomy

icanis

Introduction

  • To introduce an indwelling catheter into the stomach via the esophagus.
  • Provides route for feeding which bypasses the oral cavity.

Uses

  • Indications for esophagostomy feeding:
    • Anorexia or hyporrhexia.
    • Facial or pharyngeal trauma Pharynx: stick injury or surgery.
    • Mucositis (radiation therapy).

Advantages

  • Can use wide-bore tube (as for gastrostomy Gastrostomy: percutaneous tube 2 (pipe introducer) ).
  • Well-tolerated, easy to site, cheap.
  • Endoscopy not required for positioning.
  • Patient can drink/eat with tubein situ.
  • Fewer complications than with pharyngostomy tubes.
  • Can be left in place for long periods of time.
  • Can be performed with sedation only.
  • Can be used immediately.

Disadvantages

  • Can vomit tubeper os.
  • Not indicated in the presence of esophageal disease.
  • Contraindications of esophagostomy feeding:
    • Excessive vomiting.
    • Esophagitis Esophagitis.
    • Esophageal motility disorders.
    • Pancreatic disorders Pancreas: trauma or need to bypass pancreas.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Ireland L M, Hohenhaus A E, Broussard J D et al (2003) A comparison of owner management and complications in 67 cats with esophagostomy and percutaneous endoscopic gastrotomy feeding tubesJ Amer Anim Hosp Assoc 39 (3), 241-246 PubMed.
  • Mazzaferro E M (2001) Esophagostomy tubes: don't underutilize them! J Vet Emerg Crit Care 11 (2), 153 - 156 VetMedResource.

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