Limited approach to the right flank for placement of a duodenostomy tube

Roberto E. Novo, Julie Churchill, Leah Faudskar, Alan J. Lipowitz

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


A new enterostomy tube placement technique is described for provision of nutrients into the duodenum. Placement of the duodenostomy tube (d-tube) is performed through a limited right flank approach under sedation and local anesthesia. Seven client-owned animals (three dogs and four cats) requiring enteral nutritional support were selected for d-tube placement. Patients were fed via the d-tube for two to 28 days. Complications included discomfort when manipulating and exteriorizing the duodenum, discomfort with bolus feedings, local cellulit s, and tube site infection. All complications resolved without further incident. This technique should be considered in patients that are not good candidates for prolonged general anesthesia or esophageal or gastric feeding, or patients being mechanically ventilated.

Original languageEnglish (US)
Pages (from-to)193-199
Number of pages7
JournalJournal of the American Animal Hospital Association
Issue number2
StatePublished - 2001


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