ENTERAL FEEDING PRODUCTS
Esophageal Balloon Dilation Feeding Tube
Use this one-stage esophageal balloon dilation feeding tube for palliative management of benign esophageal stricture and for feeding of cats and dogs. This is an effective single-procedure alternative to repeated expensive balloon dilations and incorporates the esophageal feeding tube. DESIGN: The BE-tube features a double balloon surrounding the feeding tube. A compliant outer balloon covers a non- compliant inner balloon for optimal, low profile, long term, routine, dilation of strictures performed by the owner at home. • The tube is clear, non-irritating polyurethane ideal for long term use. Latex free. • Lateral ports minimize catheter occlusion. • Radiopaque line for x-ray visualization to aid in precise placement. • Accessory kit contains two hydrophilic nitinol wires with steerable tip (.035in x 80cm and .035in x 150cm), a Centesis Valve (#175450NB) and a stopcock (#2405). • Items needed for placement and operation of the BE-tube are the accessory kit, peel-away introducer or stainless steel introducer and inflation device.
See MILA website for link to YouTube video. See 2018 publication at the web address below or scan the QR code:
Tan DK, Weisse C, Berent A, Lamb KE. Prospective evaluation of an indwelling esophageal balloon dilatation feeding tube for treatment of benign esophageal strictures in dogs and cats. J Vet Intern Med. 2018;00:1–8. https://doi.org/10.1111/jvim.15071
DISCUSSION: Once a BES has been diagnosed and traditionally balloon-dilated, the BE-Tube is placed similarly to a standard esophageal feeding tube (E-Tube) with some technical differences. The owner performs twice daily balloon dilations at home, in their unsedated pet, using predetermined air volumes. This tube can also provide supplementation of food, water and medications. While stricture dilation can be uncomfortable in humans, the initial stricture effacement would occur under the initial anesthetic episode so subsequent dilations would not be expected to be associated with discomfort. In between the daily dilation procedures, the balloon would be self-constrained permitting passage of normal food and liquid boluses. The BE-Tube is typically removed approximately 4-6 weeks later, often under general anesthesia, for repeat esophagoscopy to confirm stricture resolutions. It can also be removed in an awake patient. -Chick Weisse, VMD, DACVS
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