112 例内科转诊服务中使用饲管的猫（2015-2020 年）。
Use of feeding tubes in 112 cats in an internal medicine referral service (2015-2020).
机构信息
University of Lyon, VetAgro Sup, Veterinary Campus of Lyon, Department of Companion Animals, Marcy L'Etoile, France.
VetAlpha, 1305 Route de Lozanne, ZA des Grandes Terres, Dommartin 69380, France.
出版信息
J Feline Med Surg. 2022 Oct;24(10):e338-e346. doi: 10.1177/1098612X221108835. Epub 2022 Jul 14.
OBJECTIVES
The aims of this study were to describe diseases, complications and outcomes associated with the use of feeding tubes in a population of sick cats with appetite disturbance managed at an internal medicine referral service.
METHODS
Clinicopathological data from cats receiving nasoenteral (NE) or oesophagostomy (O) tubes were studied. Cats were categorised according to their underlying disease and divided into subgroups (NE or O tube). The following factors associated with survival were analysed: disease category, type of tube and return to appetite.
RESULTS
Included in the study were 112 cats, representing 118 cases. Of the 118 cases, 98 (83%) and 20 (17%) received NE or O tubes, respectively. The most common underlying conditions were digestive (13.5%), hepatobiliary (11%) and upper urinary tract (11%) disorders. Hepatobiliary (50%) and upper respiratory tract (30%) conditions were predominant in the O tube group. Digestive (15%) and upper urinary tract (12%) diseases were more common in the NE tube group. Complications following tube placement occurred in 22/118 cases (18.6%). The global survival rate was 73% and did not differ between NE (71.4%) and O tube (80%) groups ( = 1.00) or disease categories ( = 0.61). Return of appetite before feeding tube removal occurred in 56 cases (47%), within a median of 3 days (range 1-30) and was not associated with mirtazapine administration ( = 1.00). Appetite returned earlier for cats with NE tubes (3 days, range 1-17) than for those with O tubes (33 days, range 5-60; <0.05). Voluntary food intake was positively associated with survival (odds ratio 15.17). After discharge and feeding tube retrieval, return of appetite was observed in 67% of cases.
CONCLUSIONS AND RELEVANCE
Feeding tubes were predominantly placed for the management of appetite disturbance in cats with digestive, hepatobiliary and upper urinary tract diseases. While complications were frequent, they were mostly mild, easily managed and did not preclude feeding tube use. Return to appetite occurred in a large proportion of cats during or after assisted enteral feeding and was associated with survival.
目的
本研究旨在描述在一家内科转诊服务中心接受鼻胃（NE）或食管造口术（O）管喂养的食欲障碍的患病猫的疾病、并发症和结果。
方法
研究了接受 NE 或 O 管的猫的临床病理数据。根据其基础疾病对猫进行分类，并分为亚组（NE 或 O 管）。分析了与生存相关的以下因素：疾病类别、管类型和恢复食欲。
结果
本研究纳入了 112 只猫，共 118 例。在这 118 例中，分别有 98（83%）和 20（17%）例接受了 NE 或 O 管。最常见的基础疾病是消化系统（13.5%）、肝胆（11%）和上尿路（11%）疾病。O 管组中以肝胆（50%）和上呼吸道（30%）疾病为主。NE 管组中更常见的是消化系统（15%）和上尿路（12%）疾病。118 例中有 22 例（18.6%）在放置管后出现并发症。总生存率为 73%，NE 管（71.4%）和 O 管（80%）组之间差异无统计学意义（ = 1.00）或疾病类别（ = 0.61）。在拔除喂养管前，56 例（47%）猫恢复食欲，中位时间为 3 天（范围 1-30），与米氮平的使用无关（ = 1.00）。NE 管组猫的食欲恢复时间更早（3 天，范围 1-17），而 O 管组猫的食欲恢复时间更长（33 天，范围 5-60；<0.05）。自愿食物摄入与生存呈正相关（比值比 15.17）。出院并取回喂养管后，67%的病例恢复了食欲。
结论和相关性
在患有消化系统、肝胆和上尿路疾病的猫中，喂养管主要用于管理食欲障碍。尽管并发症频繁，但大多为轻度，易于管理，并不妨碍喂养管的使用。在辅助肠内喂养期间或之后，很大一部分猫恢复了食欲，且与生存相关。
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