Page 646 - Fluid, Electrolyte, and Acid-Base Disorders in Small Animal Practice

Enteral Nutrition 633

Figure 26-9 Technique for esophagostomy tube placement. (Photo courtesy of Dr. Andrew Sprecht).

forceps, or gentle pressure can be applied to them to force with the forceps and drawn through the incision into the
the tips through the esophageal wall. Care must taken to oral cavity (Figure 26-9, C). Only a small portion of the
avoid the external jugular, linguofacial and maxillary feeding tube should remain exterior to the skin, this will
veins, carotid artery, vagosympathetic trunk, and hypo- facilitate ease of rotating/flipping the tube (Figure 26-9,
glossal nerve. The distal end of the feeding tube is grasped D). The distal end of the feeding tube is gently