Description of a novel technique for surgical placement of gastrostomy tubes in dogs
| Autor: | Harry W. Boothe, Katelyn C. Hlusko, Lenore M. Bacek, D. Michael Tillson, Brad M. Matz, Sonya C Hansen, Jamie R. Bellah |
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| Rok vydání: | 2017 |
| Předmět: |
Novel technique
medicine.medical_specialty 040301 veterinary sciences medicine.medical_treatment Peritonitis Abdominal cavity 0403 veterinary science Gastropexy 03 medical and health sciences 0302 clinical medicine Dogs Enteral Nutrition Medicine Animals Intubation Gastrointestinal Gastrostomy General Veterinary business.industry Stomach 030208 emergency & critical care medicine 04 agricultural and veterinary sciences medicine.disease Surgery Catheter medicine.anatomical_structure Parenteral nutrition Gastrostomy tube business |
| Zdroj: | Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)REFERENCES. 29(5) |
| ISSN: | 1476-4431 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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