Feeding Tubes

Question 1

Hansen JVECCS 2019
Gastrostomy tube usage in dogs w/ septic peritonitis

Survival to discharge?

% with GI sepsis?

Complication rate?
-GI vs non GI

Difference between survivors vs non survivors?

Answer 1

75% survived to discharge
75% had GI source of sepsis
Complications in 50%
16.6% had non GT related complications
33.3% had GT related complications; majority were minor; only 2/8 had major complications requiring removal
Significant difference between survivors and nonsurvivors: between length of time after placement of GT to when they began eating and outcome; and GT dwell time and outcome (table easier to understand)

Question 2

Hlusko JVECCS 2019
Novel technique for surgical placement of gastrostomy tubes

Answer 2

A thoracic trocar catheter (TTC) with an attached Pezzer tube is inserted through a gastrotomy incision and exited
through the left gastric body and body wall. A left-sided tube gastropexy is performed using an interlocking box (ILB) pattern.

Question 3

Elmenhorst
Gastrostomy tubes
JSAP 2020

Answer 3

Survival to discharge 51%

Minor complications 26%

Question 4

Breheny
Esophageal Feeding Tubes in Cats
JVIM 2019

Answer 4

Complications 36%
~tube dislodgement 15%
~Stoma infection 12%

Infection
~steroids
~chemotherapy
~discharge at the site

Death
~lower weight
~pancreatitis
~neoplasia
~respiratory
~urogenital
~infectious disease

Question 5

Perondi
E-tube in azotemic dogs
JSAP 2021

Answer 5

E-tube complications 53%

Risk factors
~indwelling time
~use of hemodialysis