Department of Internal Medicine, Royal (Dick) School of Veterinary Studies, Ringgold Standard Institution-Internal Medicine, University of Edinburgh, Easter Bush, United Kingdom.
Surgery Department, Anderson Moores, Winchester, United Kingdom.
J Vet Intern Med. 2019 May;33(3):1306-1314. doi: 10.1111/jvim.15496. Epub 2019 Apr 18.
Esophageal feeding tubes are commonly used to provide enteral nutrition to cats, but their use is associated with adverse effects.
To evaluate the complications associated with e-tube placement in cats and to identify factors predisposing to these complications.
Cats that had an esophageal feeding tube placed (n = 248).
This was a retrospective case review in which clinical records were interrogated across 2 referral centers to identify records of cats that had esophageal tubes placed. Clinical data were collected for signalment, clinical indication, method of placement, time of removal, and any complications. Logistic regression was then employed to assess the odds of an increase in complications, including infection and death.
For those cats that survived to discharge, tubes were in place for a median of 11 days, ranging from 1 to 93 days. Complications occurred in 35.8% of the cats, with the most common being tube dislodgement (14.5%), followed by stoma site infections (12.1%). Cats receiving glucocorticoids or oncolytic agents (OR = 3.91; 95% CI, 1.14-13.44) and with discharge at the stoma site (OR = 159.8; CI, 18.9-1351) were at an increased odds of developing a stoma site infection, whereas those with a lower weight (OR = 1.33; 95% CI, 1.02-1.75) or (pancreatic [OR = 4.33; 95% CI, 1.02-18.47], neoplastic [OR = 15.44; 95% CI, 3.67-65.07], respiratory [OR = 19.66; 95% CI, 2.81-137.48], urogenital [OR = 5.78; 95% CI, 1.15-28.99], and infectious diseases [OR = 11.57; 95% CI, 2.27-58.94]) had an increased odds of death. The duration of time in place and the cat being discharged with the tube in place were not associated with an increased risk of infection or death.
Owners should be made aware of the potential risks involved and their predisposing factors.
食管喂养管常用于为猫提供肠内营养，但使用它们会引起不良反应。
评估猫食管置管相关并发症，并确定导致这些并发症的易感因素。
接受食管喂养管置管的猫（n=248）。
这是一项回顾性病例研究，在 2 家转诊中心查询临床记录，以确定接受食管置管的猫的记录。收集了一般信息、临床指征、置管方法、置管时间、拔管时间以及任何并发症的信息。然后采用 logistic 回归评估感染和死亡等并发症发生率增加的可能性。
对于存活至出院的猫，中位置管时间为 11 天，范围为 1 至 93 天。35.8%的猫出现并发症，最常见的是管移位（14.5%），其次是造口部位感染（12.1%）。接受糖皮质激素或肿瘤坏死因子制剂治疗（OR=3.91；95%CI，1.14-13.44）和在造口部位出院（OR=159.8；CI，18.9-1351）的猫发生造口部位感染的风险增加，而体重较低（OR=1.33；95%CI，1.02-1.75）或（胰腺[OR=4.33；95%CI，1.02-18.47]、肿瘤[OR=15.44；95%CI，3.67-65.07]、呼吸[OR=19.66；95%CI，2.81-137.48]、泌尿生殖[OR=5.78；95%CI，1.15-28.99]和传染病[OR=11.57；95%CI，2.27-58.94]）的猫死亡风险增加。置管时间长短和猫出院时带管均与感染或死亡风险增加无关。
应让主人了解潜在风险及其易感因素。
