ISSN 2398-2942      

Gastrostomy: percutaneous tube 1 (endoscopic)

icanis

Introduction

  • Introduce an indwelling catheter into the stomach via the abdominal wall.

Uses

  • Portal of entry for enteral nutrition.
  • Replacement and maintenance of alimentation pre- and post-surgery Stomach: gastric dilatation / volvulus (GDV) syndrome.
  • Bypass esophagus in esophageal disease.
  • Bypass oral cavity if oral/pharyngeal disease.
  • Bypass esophagus in neurological disorders affecting swallowing.
  • Nutritional supplementation for anorexia.

Advantages

  • Easy provision of caloric and water requirements.
  • May use canned pet foods processed in a blender as well as liquid diets.
  • Easier, safer, less expensive and more physiological than parenteral methods.
  • No irritation of esophagus or pharnyx and no gastroesophageal reflux around tube.

Disadvantages

  • General anesthesia required.
  • Endoscopy skills needed.
  • Not suitable method of feeding if gastric or intestinal disease present.

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.
  • Buffington C A (1998) Unclogging gastrostomy tubes. JAVMA 213 (3), 338 PubMed.
  • Glaus T M, Cornelius L M, Bartges J W et al (1998) Complications with non-endoscopic percutaneous gastrostomy in 31 cats and 10 dogs - a retrospective study. JSAP 39 (5), 218-222 PubMed.
  • Seaman R, Legendre A M (1998) Owner experiences with home use of a gastrostomy tube in their dog or cat. JAVMA 212 (10), 1576-1578 PubMed.
  • Waschak M J, Payne J T, Pope E R et al (1997) Evaluation of percutaneous gastrostomy as a technique for permanent gastropexy. Vet Surg 26 (3), 235-241 PubMed.
  • Clary E M, Hardie E M, Fischer W D et al (1996) Non-endoscopic antegrade percutaneous gastrostomy - the effect of preplacement gastric insufflation on tube position and intra-abdominal anatomy. J Vet Intern Med 10 (1), 15-20 PubMed.
  • Mauterer J V, Abood S K, Buffington C A et al (1994) New technique and management guidelines for percutaneous non-endoscopic tube gastrostomy. JAVMA 205 (4), 574-579 PubMed.
  • Bright R M (1993) Percutaneous endoscopic gastrostomy. Vet Clin North Am Small Anim Pract 23 (3), 531-545 PubMed.
  • McCrackin M A, DeNovo R C, Bright R M et al (1993) Endoscopic placement of a percutaneous gastroduodenostomy feeding tube in dogs. JAVMA 203 (6), 792-797 PubMed.

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