ISSN 2398-2977      

Esophagus: esophagostomy

pequis

Introduction

  • Extra-oral alimentation (feeding) may be necessary for horses with dysphagia.
  • Extra-oral alimentation is also an important part of post-operative care in esophageal surgery.
  • Cervical esophagostomy is an excellent method of achieving this and has several significant advantages over the alternatives.

Uses

Advantages

  • Avoids discomfort and irritation of in-dwelling nasogastric tubes.
  • Avoids deleterious influences of an intraluminal tube on esophageal wound healing.
  • May provide the only means of enteral feeding when oral or pharyngeal disease prevents normal feeding.
  • Can be performed in standing sedated patient if required.

Disadvantages

  • In some cases, may need to be performed under general anesthesia Anesthesia: general - overview.
  • Second surgical approach or entry into esophagus may be required.
  • Septic cellulitis or mediastinitis are possible sequelae to the procedure.
  • Fluid losses and electrolyte abnormalities are post-operative complications to consider.

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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Prognosis

  • Overall depends upon the primary esophageal disease or reason for surgery.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Koenig J B, Silveira A, Cribb N C et al (2016) Clinical indications, complications, and long-term outcome of esophageal surgeries in 27 horses. Can Vet J 57 (12), 1257-1262 PubMed.
  • Lillich J D, Frees K E, Warrington K et al (2001) Esophagomyotomy and esophagopexy to create a diverticulum for treatment of chronic esophageal stricture in 2 horses. Vet Surg 30 (5), 449-53 PubMed.
  • Stick J A, Derksen F J & Scott E A (1981) Equine cervical esophagostomy complications associated with duration and location of feeding tubes. Am J Vet Res 42 (5), 727-32 PubMed.
  • Freeman D E & Naylor J M (1978) Cervical esophagostomy to permit extraoral feeding of the horse. JAVMA 172 (3), 314-320 PubMed.

Other sources of information

  • Fubini S L (2019) Chapter 30: Esophagus. In: Equine Surgery. 5th edn. Eds: Auer J & Stick J. Saunders, USA. pp 474-496.

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