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Description of a novel technique for surgical placement of gastrostomy tubes in dogs
Author(s) -
Hlusko Katelyn C.,
Hansen Sonya C.,
Matz Brad M.,
Bacek Lenore M.,
Boothe Harry W.,
Bellah Jamie R.,
Tillson D. Michael
Publication year - 2019
Publication title -
journal of veterinary emergency and critical care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.886
H-Index - 47
eISSN - 1476-4431
pISSN - 1479-3261
DOI - 10.1111/vec.12884
Subject(s) - medicine , gastrostomy , surgery , peritonitis , fibrous joint , feeding tube , enteral administration , thoracic cavity , catheter , gastropexy , jejunostomy , abdominal cavity , tube (container) , stomach , parenteral nutrition , gastroenterology , mechanical engineering , engineering
Background Early enteral nutrition in dogs with critical illnesses, including septic peritonitis, has been shown to have a positive influence on patient outcome. Surgical placement of a gastrostomy tube (GT) is one option for providing early enteral nutrition. Complications, including premature tube removal or separation of the stomach from the body wall, can result in leakage of gastric contents into the abdominal cavity and subsequent peritonitis. A safe and reliable technique for the placement of a GT is desirable to minimize such complications. Key Concepts A modified method for surgical placement of a GT is described. 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. Significance GT placement using a TTC is efficient, requiring minimal additional anesthesia time. The gastric defect created by the TTC conforms well with the Pezzer tube. As such, placement and utilization of the ILB suture pattern enables removal of the GT in the early postoperative period, if appropriate.