Objective—To evaluate feasibility of performing
laparoscopic-assisted placement of a jejunostomy
feeding tube (J-tube) and compare complications
associated with placement, short-term feedings, and
medium-term healing with surgically placed tubes in
Animals—15 healthy mixed-breed dogs.
Procedure—Dogs were randomly allocated to
undergo open surgical or laparoscopic-assisted J-tube
placement. Required nutrients were administered by
a combination of enteric and oral feeding while monitoring
for complications. Radiographic contrast studies
documented tube direction and location, altered
motility, or evidence of stricture.
Results—Jejunostomy tubes were successfully
placed in the correct location and direction in all dogs.
In the laparoscopic group, the ileum was initially
selected in 2 dogs, 2 dogs developed moderate hemorrhage
at a portal site, and 2 J-tubes kinked during
placement but were successfully readjusted postoperatively.
All dogs tolerated postoperative feedings.
All dogs developed minor ostomy site inflammation,
and 1 dog developed bile-induced dermatitis at the
ostomy site. Despite mild, transient neutrophilia, no
significant difference was noted in WBC counts
between groups. No dog had altered gastric motility
or evidence of stricture, although the jejunopexy site
remained identifiable in several dogs at 30 days.
Conclusions and Clinical Relevance—Requirements
for successful J-tube placement were met by use of a
laparoscopic-assisted technique, and postoperative
complications were mild and comparable to those
seen with surgical placement. Laparoscopic-assisted
J-tube placement compares favorably to surgical
placement in healthy dogs and should be considered
as an option for dogs requiring enterostomy feeding
but not requiring a celiotomy for other reasons. (J Am
Vet Med Assoc 2004;225:65–71)