Читать книгу Gastrointestinal Surgical Techniques in Small Animals - Группа авторов - Страница 56

Eric Monnet

Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO, USA

Enteral feeding is an important component of the treatment of critically ill patients, and for the support of patients with anorexia related to chronic conditions. Different type of feeding tubes are available to the surgeons to support the patients according to their need and underlying conditions (Armstrong et al. 1990a; Abood and Buffington 1992; Marks 1998).

Each of those feeding tubes has its advantages and disadvantages. The choice of feeding tube is based on the underlying disease, the goal of the enteral nutrition, and the length of time the tube will be needed. Combination of tubes is also possible. It is not rare to combine a gastrostomy tube with a jejunostomy tube to support a patient in the short term and the long term. The jejunostomy tube will be used in the short term to support the patient in the recovery phase of the surgery, especially if the patient is vomiting, while the gastrostomy tube will be used in the long term to support the patient if still anorexic.

Enteral feeding is also very important to support the integrity of the gastrointestinal tract. The enterocytes are getting their nutrient directly from the metabolite present in the lumen of the gastrointestinal tract.