engleski

ENTERAL NUTRITIONAL SUPPORT USING GASTROSTOMY AND OESOPHAGOSTOMY TUBES IN DOGS AND CATS

Enteral nutrition is a therapeutic procedure that prevents further development of malnutrition and enables faster recovery. Enteral feeding using gastrostomy (G) and oesophagostomy (E) tubes is indicated in anorectic patients in need of prolonged nutritional support with simultaneous contraindication for naso-oesophageal tube placement. The aim of the conducted study was to determine the frequency and indications for placement of E and G tubes in dogs and cats. Additionally, to determine the duration of enteral nutrition, enteral formulations used for feeding, and complications of enteral feeding. The research has been conducted by retrospective data collection from a University clinic, Faculty of Veterinary Medicine, University of Zagreb, between January 2015 and January 2020, and included 36 dogs and cats. Tubes were placed more often in dogs (75%) than in cats (25%). In dogs, E-tubes were placed more frequently (66.67%) than G-tubes (33.33%), while in cats only E-tubes were used. The most common indications for E-tube placement were jaw trauma (mandibular fracture and cleft palate, neoplasms of the oral cavity and pharynx), while for G-tube the main indication was oesophageal lesion due to foreign body. The nutritional protocol and duration of feeding were determined on an individual patient basis, using polymeric liquid diets and diluted canned diets. The duration of enteral nutrition was on average 6.18 days (E-tubes) and 4 days (G-tubes). Mild to moderate complications occurred in 29.63% with E-tubes and 44.44% with G tubes and included tube and bandage displacement, stoma obstruction, vomiting and regurgitation. Severe complications (3.7%) included asphyxiation and pneumothorax. There is the predominant use of E-tubes in cats due to the high rate of surgical indications such as jaw trauma. Enteral nutritional support using E and G-tubes provides a safe nutrition route when indicated with relatively rare severe complications.

enteral nutrition, gastrostomy tubes, oesophagostomy tubes, dogs, cats

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