Esophagostomy tube complications in dogs and cats: Retrospective review of 225 cases

医学 并发症 造口(药) 回顾性队列研究 外科 内科学
作者
Olivia Nathanson,Kathryn F. McGonigle,Kathryn E. Michel,Darko Stefanovski,Dana L. Clarke
出处
期刊:Journal of Veterinary Internal Medicine [Wiley]
卷期号:33 (5): 2014-2019 被引量:16
标识
DOI:10.1111/jvim.15563
摘要

Abstract Background Esophagostomy feeding tubes (E‐tubes) are an essential tool for management of hyporexic patients' acute and chronic nutritional requirements. Despite their routine use, limited information is available regarding E‐tube complications, especially in the recent veterinary literature. Objective To provide an updated descriptive account of E‐tube complications in cats and dogs, and to evaluate potential prognostic factors to determine if certain patients are at increased risk for complications. Animals One hundred two dogs and 123 cats. Methods Retrospective study evaluating patients that had E‐tubes placed between March 2014 and March 2017. Results One hundred patients (44.4%) experienced a complication related to tube placement, with a similar complication rate among dogs (43.1%) and cats (45.5%). Twenty‐two cats (17.8%) and 14 dogs (13.7%) developed signs of infection at the E‐tube site, with 5 cats (22.7%) and 5 dogs (35.7%) requiring surgical debridement. Regurgitation of food through the E‐tube stoma was noted in 7 dogs and 1 cat. Three patients were euthanized as a result of tube‐related complications. Conclusions and Clinical Importance We have provided an updated descriptive review of complications associated with E‐tube placement in a large population of dogs and cats at a tertiary referral center. Although E‐tubes are essential tools that generally are safe and well tolerated, several complications can occur. We did not identify any specific factors that increase patient risk for these complications, and therefore it is important that all patients are closely monitored and clients are educated to pursue prompt veterinary assessment when such complications arise.
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