Peer-reviewed veterinary case report
Limited approach to the right flank for placement of a duodenostomy tube.
- Journal:
- Journal of the American Animal Hospital Association
- Year:
- 2001
- Authors:
- Novo, R E et al.
- Affiliation:
- Department of Small Animal Clinical Sciences · United States
Plain-English summary
A new method for placing a feeding tube directly into the duodenum (the first part of the small intestine) has been developed. This technique involves a small incision on the right side of the abdomen and is done while the animal is sedated and given local anesthesia. In a study with seven pets, including three dogs and four cats, the feeding tube was used for periods ranging from two to 28 days. Some pets experienced discomfort during feeding or at the tube site, but these issues were resolved without any serious problems. This approach is particularly useful for pets that cannot undergo long anesthesia or have difficulty with other feeding methods.
Abstract
A new enterostomy tube placement technique is described for provision of nutrients into the duodenum. Placement of the duodenostomy tube (d-tube) is performed through a limited right flank approach under sedation and local anesthesia. Seven client-owned animals (three dogs and four cats) requiring enteral nutritional support were selected for d-tube placement. Patients were fed via the d-tube for two to 28 days. Complications included discomfort when manipulating and exteriorizing the duodenum, discomfort with bolus feedings, local cellulitis, and tube site infection. All complications resolved without further incident. This technique should be considered in patients that are not good candidates for prolonged general anesthesia or esophageal or gastric feeding, or patients being mechanically ventilated.
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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/11300529/