Lapis ISSN 2398-2969

Esophagus: esophagostomy

Synonym(s): Tube placement for assisted feeding

Contributor(s): Narelle Walter, Anna Meredith, Vicki Baldrey

Introduction

  • Insertion of a feeding tube into the stomach via the esophagus to provide assisted feeding in rabbits with long-term anorexia.

Uses

  • Providing nutrition for conditions requiring long-term feeding:
    • Jaw fractures.
    • Post-extensive surgery.
    • Anorexia Anorexia, to reduce the stress associated with long-term repeated oral feeding.
  • Providing nutrition for conditions that require avoidance of the oral cavity:

Advantages

  • Due to large bore placement of esophagostomy tube high calorie and high fiber feeds can be given to decrease the likelihood of hepatic lipidosis Liver: disease, gastrointestinal stasis Gastrointestinal: ileus and GI stasis Gastric dilation and stasis.
  • Acceptance may be greater in individual rabbits compared to nasogastric feeding tube Nasogastric intubation.
  • Esophagostomy tubes can be maintained in place for extended timeframes.

Disadvantages

  • Anesthesia required for placement Anesthesia: emergencies.
  • Hospitalization while tube in place is a necessity Hospitalization / nursing care.
  • In some rabbits, Elizabethan collar placement may be required Nutrition: nasogastric tube; this often causes depression and inability to ingest cecotrophs and is not routinely recommended in rabbits.
  • Abscess formation at site of tube placement is a possibility.

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

  • Abscessation at the insertion site may required further surgery if unresponsive to systemic antibiotics.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Huynh M, Boyeaux A & Pignon C (2016) Assessment and care of the critically ill rabbit. Vet Clin North Am Exot Anim Pract 19 (2), 379-409 PubMed.
  • Makidon P (2005) Esophagostomy tube placement in the anorectic rabbit. Lab Anim 34 (8), 33-36 PubMed.

Other sources of information

  • Crowe T (2007) Emergency and Critical Care Procedures. In: Proc Western Veterinary Conference.


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