Nutritional support is often a vital part of a patient's
treatment plan. On the Internal Medicine service, we routinely
place feeding tubes to provide adequate energy and protein to out
Esophagostomy tube - "E-tube"
The simplest feeding tube is the esophagostomy tube; this is
placed under brief anesthesia into the upper esophagus. These tubes
can be left in for several weeks, if necessary.
This image shows an E-tube being secured after placement. The
cat is still under anesthesia.
Gastrostomy tube - "PEG tube"
This is a percutaneous endoscopic gastrostomy tube. This is
placed into the stomach, using an endoscope.
In this image, PEG tube can be seen coming out of the patient's
side. The PEG tube is secured in the stomach by an inflatable ring,
and can stay in place for many months.
Jejunostomy tube- "J-tube"
If necessary, a jejunostomy tube can be placed via the PEG tube
or using fluoroscopy. With a J-tube, food bypasses the stomach and
enters directly in to the small intestine. This is particularly
helpful if patients are vomiting or have undergone recent
This image shows a J-tube which was placed via the nose, using
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