Jergens Albert E, Morrison Jo Ann, Miles Kristina G, Silverman William B
Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Iowa State University, Ames 50010, USA.
J Vet Intern Med. 2007 Jan-Feb;21(1):18-24. doi: 10.1892/0891-6640(2007)21[18:pegtpi]2.0.co;2.
Pancreatitis, hepatobiliary disease, and proximal gastrointestinal tract disorders are clinical situations where delivery of nutrients via jejunostomy tube is preferable to a feeding gastrostomy. A thorough description of the percutaneous endoscopic gastrojejunostomy (PEG-J) technique and practical guidelines for its use in small animals have not been reported.
That a simple technique of PEG-J tube placement in humans would be useful and safe in healthy dogs and cats.
Twelve healthy dogs and 5 healthy cats were included in the study.
Commercially prepared PEG-J tubes were modified for use in animals and positioned in the small intestine by endoscopic guidance. Eight dogs and 5 cats were bolus fed enteral diets for 14 days. Complications associated with the use of the PEG-J tube and responses to bolus feedings were assessed.
Jejunostomy tubes were placed distal to the caudal duodenal flexure in all dogs and cats. Complications associated with PEG-J tubes occurred in 5/12 dogs and 4/5 cats and included J-tube removal, local pain/inflammation, retrograde tube migration, and diarrhea. Bolus feeding (daily maintenance energy requirement [MER] divided q8h) through the jejunostomy catheter was well tolerated, maintained normal body weight, and was not associated with adverse gastrointestinal signs.
Placement of a PEG-J tube is an effective, noninvasive technique for providing enteral nutritional support of healthy dogs and cats. Bolus-feeding techniques via PEG-J tubes maintain normal nutritional status in healthy dogs and cats. This procedure for jejunostomy feeding may be easily adapted for use in clinical practice outside of an intensive care facility.
胰腺炎、肝胆疾病和近端胃肠道疾病是临床情况，在此类情况下，通过空肠造口管输送营养优于胃造口喂养。经皮内镜下胃空肠造口术（PEG-J）技术的详细描述及其在小动物中的实用指南尚未见报道。
人类中一种简单的PEG-J管放置技术在健康犬猫中是有用且安全的。
12只健康犬和5只健康猫纳入本研究。
对市售的PEG-J管进行改良以用于动物，并在内镜引导下将其放置于小肠。8只犬和5只猫经口给予肠内饮食14天。评估与PEG-J管使用相关的并发症以及对经口喂养的反应。
所有犬猫的空肠造口管均放置于十二指肠尾侧弯曲部远端。12只犬中有5只、5只猫中有4只出现与PEG-J管相关的并发症，包括J管拔除、局部疼痛/炎症、导管逆行移位和腹泻。通过空肠造口导管进行经口喂养（每日维持能量需求[MER]每8小时均分）耐受性良好，维持了正常体重，且未出现不良胃肠道症状。
PEG-J管放置是为健康犬猫提供肠内营养支持的一种有效、非侵入性技术。通过PEG-J管进行经口喂养技术可维持健康犬猫的正常营养状态。这种空肠造口喂养方法可轻松适用于重症监护病房以外的临床实践。
