ISSN 2398-2950      

Gastrostomy: percutaneous tube (endoscopic)

ffelis
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Introduction

  • To 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.
  • Bypass esophagus in esophageal disease.
  • Bypass oral cavity in oral/pharyngeal disease.
  • Bypass esophagus in neurological disorders affecting swallowing.
  • Nutritional supplementation in 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 pharynx 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.
  • Salinardi B J, Harkin K R, Bulmer B J et al (2006) Comparison of complications of percutaneous endoscopic versus surgically placed gastrostomy tubes in 42 dogs and 52 cats. J Am Anim Hosp Assoc 42 (1), 51-56 PubMed.
  • 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.

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