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Gastrotomy tubes in dogs with renal failure
Renal failure or chronic renal insufficiency is a common problem in dogs. Many of them are loosing lots of weight. This study from the University of California evaluates the effects of gastrotomy tubes in these patients in a retrospective study.

56 dogs were included in this study: The mean +/- SD BUN concentration was 134 +/- 79 mg/dl and mean serum creatinine concentration was 9.0 +/- 3.8 mg/dl.
Low-profile gastrostomy tubes were used for initial placement in 10 dogs, and traditional gastrostomy tubes were used in 46 dogs.

Mild stoma-site complications included discharge, swelling, erythema, and signs of pain in 26 (46%) of dogs. Twenty-six gastrostomy tubes were replaced in 15 dogs; 11 were replaced because of patient removal, 6 were replaced because of tube wear, and 3 were replaced for other reasons. Six tubes were replaced by low-profile gastrostomy tubes.

Gastrostomy tubes were used for 65 +/- 91 days (range, 1 to 438 days).

Eight dogs gained weight, 11 did not change weight, and 17 lost weight; information was not available for 20 dogs. Three dogs were euthanatized because they removed their gastrostomy tubes, 2 were euthanatized because of evidence of tube migration, and 1 died of peritonitis.

The authors conclude that gastrostomy tubes appear to be safe and effective for improving nutritional status of dogs with renal failure.

Source: Elliott DA, Riel DL, Rogers QR (2000): Complications and outcomes associated with use of gastrostomy tubes for nutritional management of dogs with renal failure: 56 cases (1994-1999). In: J Am Vet Med Assoc 2000 Nov 1;217(9):1337-42




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SMALL ANIMAL PRACTICE

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Does acetaminophen reach a satisfactory biovailability in dogs? An interesting question! This recently published study enrolling healthy and ill animals determines the plasma pharmacokinetics of suppository acetaminophen (APAP). Six healthy client‐owned and 20 clinically ill hospitalized dogs were included in this prospective study.

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