Felis ISSN 2398-2950

Esophagostomy feeding tube placement

Contributor(s): Andrew Gardiner, Geraldine Hunt, Susan Rackard

Introduction

  • Placing an esophagostomy tube provides a route for feeding which avoids the oral cavity.
  • This is useful in animals with oral disease or those unable or unwilling to eat for other reasons.

Uses

  • Allows complete nutrition of debilitated animals or those who have sustained head/jaw trauma.

Advantages

  • Well-tolerated, easy to site, cheap.
  • Endoscopy not required for positioning.
  • Patient can drink/eat with tube in situ.
  • Fewer complications than with pharyngostomy tubes; unlike gastrostomy tubes Gastrostomy: percutaneous tube (endoscopic), early removal (accidental or deliberate) does not lead to problems.
  • Esophagostomy tubes can be left in situ for prolonged periods.

Disadvantages

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

  • Depends on reason for tube placement.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Yam P & Cave C (2003) Enteral nutrition: options and feeding protocols. In Pract 25 (3), 118-129 PubMed.
  • von Werthrern C J & Wess G (2001) A new technique for insertion of esophagostomy tubes in cats. JAAHA 37 (2), 140-4 PubMed.
  • Leving P B, Smallwood L J & Buback J L (1997) Esophagostomy tubes as a method of nutritional management in cats - a retrospective study. JAAHA 33 (5), 405-410 PubMed.


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