pancreatiits

RE: pancreatiits

Sarah S — Mon, 06 Jul 2015 22:11:18 GMT

Thanks for your reply.

I was also under the impression that it was PEG/gastrostomy tubes that you had to wait due to stoma formation but the last OG tube I dealt with the vet planned that day 1 was fluid only so that's why I asked.

Cool thank you for clarifying this. Like I said we don't routinely use feeding tubes so its good to get advise from someone who uses them.

RE: pancreatiits

Steph Worsley — Mon, 06 Jul 2015 22:04:03 GMT

we always use sensitivity in our feline pancreatitis patients without any issue. The restriction of fat in the feline patient is not hugely important unlike the canine patient (for canine patients we always use gastro intestinal low fat). I also think (but I will double check tomorrow at work) that the moderate calorie isn't actually a true low fat option. However saying that with regards to liquid diets I would always feed food for specific condition unless using a naso-oesophageal or naso-gastric feeding tube where it is nigh on impossible to use a blended diet.

For a cat who has lost weight I would just use a highly digestible diet anyway rather than a high fat diet especially if they have been anorexic as they are likely to have hepatic lipidosis.

As for starting the feeding as soon as the patient is awake following the GA to place the O tube we start day 1 feeding, the main reason for placing the tubes is to get nutrition into these patients ASAP so by waiting 24 hours after placement is a little bit counter productive. the only tubes we wait 24 hours before placing anything down the tube is PEG/gastrostomy tubes and this is to ensure a stoma is formed to prevent peritonitis. There isn't this risk with O tubes as the oesophagus seals very rapidly around the tube preventing leakage.

RE: pancreatiits

Sarah S — Mon, 06 Jul 2015 21:36:45 GMT

I was just wondering if using sensitivity in cats with pancreatitis is recomended as the Royal Canin product guide book has pancreatitis as a contraindication? I'm assuming your patients cope well with this but i was wondering if you could use gastrointestinal moderate calorie instead as this is indicated In use in cats with pancreatitis.

As part of the feline nursing diploma we need to formulate a feeding plan for an anorexic cat of 5 days who has lost weight but is also suffering from pancreatitis. I'm not sure whether or not the use of liquid feeds such as Liquivite (which is what we have used in the odd occasion we have patients with OG tubes) is the recommended diet of choice or whether using a disease specific diet is better? Obviously all the diets specifically designed for feeding tubes are high fat which would be beneficial for a cat who has lost weight after 5 days of not eating but ? would this be contraindicated with their pancreatitis? I understand that feline pancreatitis works differently to canine pancreatitis so the fat content is less of an issue.

Also do you feed straight from day 1 of the OG placement or for day 1 provide fluid then start day 2 providing a 1/3, then 2/3 then full daily food allowance thereafter? Again, we generally wait a day before providing feeding but wondering what those that use feeding tubes regularly do.

RE: pancreatiits

Leggy — Mon, 06 Jul 2015 19:19:45 GMT

thank you so much and yes the nutrition sheets would be wonderful

RE: pancreatiits

Steph Worsley — Mon, 06 Jul 2015 00:32:37 GMT

Calculate BER:

60xBW=Kcal req per day

Then divide that by the energy content in the food you have decided to feed (don't worry re fat content in cats with pancreatitis.....we tend to use RCW sensitivity which off the top of my head is 9.6Kcal/g)

Then depending on how many days the cat has been anorexic for you work out the staged reintroduction of food (if over 3 days anorexia start on 1/3rd daily requirement) then we tend to feed 5 times a day at 4 hrly intervals (works for our practice) a helps keep meals small and frequent.

after 24 hrs if cat tolerating feeding increase to 2/3 and then again to full amount after another 24 hours.

to make the food I recommend blending the required amount with 1/2 the amount water (so if 100g food then 50ml water)

Does this make sense? I do have nutrition sheets we use at work so if you want I can email this over to you if you pm me your email address.