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http://dx.doi.org/10.17555/ksvc.2015.02.32.1.28

Feasibility Study of Laparoscopic Gastrostomy Tube Placement in Beagle Dogs  

Lee, Jae-Woong (College of Veterinary Medicine, Research of Veterinary Medicine, Chungnam National University)
Park, Ji Young (College of Veterinary Medicine, Research of Veterinary Medicine, Chungnam National University)
Lee, Hae-Beom (College of Veterinary Medicine, Research of Veterinary Medicine, Chungnam National University)
Jeong, Seong Mok (College of Veterinary Medicine, Research of Veterinary Medicine, Chungnam National University)
Publication Information
Journal of Veterinary Clinics / v.32, no.1, 2015 , pp. 28-35 More about this Journal
Abstract
Aim of this study is demonstrate the feasibility of Laparoscopic gastrostomy (LG) tube placement in dogs by comparing with percutaneous endoscopic gastrostomy (PEG) tube placement, based on operative time, complications and gastro-peritoneal adhesion evaluation. Eight intact male beagle dogs were used in this study. Tri-Funnel Replacement Gastrostomy tube (Bard Inc., USA) of 20 Fr was used for LG technique and PEG kit (Ponsky "Pull" PEG Kit$^{(R)}$, Bard Inc., USA) with soft silicone retention dome consisting of a 20 Fr gastrostomy tube was used. Feeding via gastrostomy tube was performed in two weeks, maintenance energy requirement (MER) divided into 3 separate feeding. LG and PEG were evaluated at intraoperative, postoperative and postmortem period. Mean operative time for the PEG group was significantly shorter when compared with the LG group (p < 0.05). Successful maintenance of gastrostomy tube was confirmed in all dogs. Gastric and peritoneal wall adhesions were formed successfully in each group. The mean adhesion length (AL) and width (AW) were significantly larger in LG group compared with in PEG group (p < 0.05). The mean adhesion distance (AD) was not significantly different between two groups (p = 0.182). Consequently, LG is an effective minimally invasive, safe and easy to perform technique for providing enteral nutritional support in dogs.
Keywords
laparoscopic gastrostomy; percutaneous endoscopic gastrostomy; gastrostomy tube placement; enteral feeding; dog;
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1 Abood S, Buffington C. Enteral feeding of dogs and cats: 51 cases (1989-1991). J Am Vet Med Assoc 1992; 201: 619-622.
2 Antonoff MB, Hess DJ, Saltzman DA, Acton RD. Modified approach to laparoscopic gastrostomy tube placement minimizes complications. Pediatr Surg Int 2009; 25: 349-353.   DOI
3 Aprahamian CJ, Morgan TL, Harmon CM, Georgeson KE, Barnhart DC. U-stitch laparoscopic gastrostomy technique has a low rate of complications and allows primary button placement: experience with 461 pediatric procedures. J Laparoendosc Adv Surg Tech A 2006; 16: 643-649.   DOI
4 Armstrong PJ, Hardie EM. Percutaneous endoscopic gastrostomy. J Vet Intern Med 1990; 4: 202-206.   DOI
5 Bankhead RR, Fisher CA, Rolandelli RH. Gastrostomy tube placement outcomes: comparison of surgical, endoscopic, and laparoscopic methods. Nutr Clin Pract 2005; 20: 607-612.   DOI
6 Bright R. Percutaneous endoscopic gastrostomy. Vet Clin North Am Small Anim Pract 1993; 23: 531-545.   DOI
7 Crane SW. Placement and maintenance of a temporary feeding tube gastrostomy in the dog and cat. Compend Contin Educ Pract Vet 1980; 11: 770-776.
8 Crowe D. Nutritional support for the hospitalized patient: an introduction to tube feeding. Compend Contin Educ Vet 1990; 12: 1711-1721.
9 Dempsey D, Mullen J, Buzby G. The link between nutritional status and clinical outcome: can nutritional intervention modify it? Am J Clin Nutr 1988; 47: 352-356.   DOI
10 Devitt C, Seim H. Clinical evaluation of tube esophagostomy in small animals. J Am Anim Hosp Assoc 1997; 33: 55-60.   DOI
11 Gauderer MW, Ponsky JL, Izant RJ. Gastrostomy without laparotomy: a percutaneous endoscopic technique. J Pediatr Surg 1980; 15: 872-875.   DOI
12 Giner M, Laviano A, Meguid MM, Gleason JR. In 1995 a correlation between malnutrition and poor outcome in critically ill patients still exists. Nutrition 1996; 12: 23-29.   DOI
13 Ireland LM, Hohenhaus AE, Broussard JD, Weissman BL. A comparison of owner management and complications in 67 cats with esophagostomy and percutaneous endoscopic gastrostomy feeding tubes. J Am Anim Hosp Assoc 2003; 39: 241-246.   DOI
14 Jergens AE, Morrison JA, Miles KG, Silverman WB. Percutaneous endoscopic gastrojejunostomy tube placement in healthy dogs and cats. J Vet Intern Med 2007; 21: 18-24.   DOI
15 Khattak I, Kimber C, Kiely E, Spitz L. Percutaneous endoscopic gastrostomy in paediatric practice: complications and outcome. J Pediatr Surg 1998; 33: 67-72.   DOI
16 Kirby DF, Craig RM, Tsang T-K, Plotnick BH. Percutaneous endoscopic gastrostomies: a prospective evaluation and review of the literature. JPEN J Parenter Enteral Nutr 1986; 10: 155-159.   DOI
17 Lantz M, Hultin Larsson H, Arnbjornsson E. Literature review comparing laparoscopic and percutaneous endoscopic gastrostomies in a pediatric population. Int J Pediatr 2010; doi: 10.1155/2010/507616   DOI
18 Loser C, Aschl G, Hebuterne X, Mathus-Vliegen E, Muscaritoli M, Niv Y, Rollins H, Singer P, Skelly R. ESPEN guidelines on artificial enteral nutrition-percutaneous endoscopic gastrostomy (PEG). Clin Nutr 2005; 24: 848-861.   DOI
19 Marks SL. The principles and practical application of enteral nutrition. Vet Clin North Am Small Anim Pract 1998; 28: 677-708.   DOI
20 Rabeneck L, McCullough LB, Wray NP. Ethically justified, clinically comprehensive guidelines for percutaneous endoscopic gastrostomy tube placement. Lancet 1997; 349: 496-498.   DOI
21 Zamakhshary M, Jamal M, Blair GK, Murphy JJ, Webber EM, Skarsgard ED. Laparoscopic vs percutaneous endoscopic gastrostomy tube insertion: a new pediatric gold standard? J Pediatr Surg 2005; 40: 859-862.   DOI
22 Rothenberg S, Bealer J, Chang J. Primary laparoscopic placement of gastrostomy buttons for feeding tubes. Surg Endosc 1999; 13: 995-997.   DOI
23 Waschak MJ1, Payne JT, Pope ER, Jones BD, Wagner-Mann CC. Evaluation of percutaneous gastrostomy as a technique for permanent gastropexy. Vet Surg 1997; 26: 235-241.   DOI
24 Yoshimoto SK, Marks SL, Struble AL, Riel DL. Owner experiences and complications with home use of a replacement low profile gastrostomy device for long-term enteral feeding in dogs. Can Vet J 2006; 47: 144-150.
25 Mauterer J. Endoscopic and nonendoscopic percutaneous gastrostomy tube placement. In: Kirk's Current Veterinary Therapy XII Small Animal Practice, 12th ed. Philadelphia: WB Saunders. 1995: 669-674.
26 Akay B, Capizzani TR, Lee AM, Drongowski RA, Geiger JD, Hirschl RB, Mychaliska GB. Gastrostomy tube placement in infants and children: is there a preferred technique? J Pediatr Surg 2010; 45: 1147-1152.   DOI
27 Hewitt SA, Brisson BA, Sinclair MD, Foster RA, Swayne S-L. Evaluation of laparoscopic-assisted placement of jejunostomy feeding tubes in dogs. J Am Vet Med Assoc 2004; 225: 65-71.   DOI