Читать книгу Gastrointestinal Surgical Techniques in Small Animals - Группа авторов - Страница 85

The combination of a jejunostomy tube and gastrostomy tube is very common during the surgical treatment to septic peritonitis and during the reconstruction of the upper gastrointestinal tract (Cavanaugh et al. 2008). The jejunostomy tube is used first to support the patient while vomiting is occurring or the patient is lateral recumbent. The gastrostomy tube is used first to keep the stomach decompressed in an attempt to minimize gastroesophageal reflux, vomiting, and aspiration pneumonia. The gastrostomy is used later to provide more long‐term support to the patient when the vomiting episodes have subsided.

Instead of placing two separate tubes, it is possible to surgically place a gastrotomy tube and then advance within the gastrostomy tube a jejunostomy tube that is directed through the pylorus into the duodenum and the proximal jejunum. A gastrojejunostomy tube can be placed percutaneously (Jergens et al. 2007).