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4.5.3 Technique

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The gastrostomy tube is placed first as described above. A flexible tip wire is advanced in the jejunostomy tube. The wire‐jejunostomy tube construct is then advanced in the gastrostomy tube and manually directed through the wall of the stomach in the pylorus and the duodenum. The jejunostomy tube is advanced in the proximal jejunum (Figure 4.11). The wire is removed and the jejunostomy tube is flushed to make sure there is no resistance due to a kink. The jejunostomy tube and the gastrotomy tube connect together with a special adaptor in the hub of the gastrostomy tube.

Gastrointestinal Surgical Techniques in Small Animals

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