{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T16:39:06Z","timestamp":1764002346613,"version":"3.40.5"},"reference-count":41,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,7,2]],"date-time":"2020-07-02T00:00:00Z","timestamp":1593648000000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Robmar Foundation for Research on Human-Animal Bond"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Vet Emergen Crit Care"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To evaluate the placement and the performance of a new post\u2010pyloric feeding (PPF) system, and compare it to esophageal (E) feeding in dogs with severe acute kidney injury (AKI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Prospective study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>University teaching hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Animals<\/jats:title><jats:p>Twenty client\u2010owned dogs with severe AKI treated with hemodialysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Interventions<\/jats:title><jats:p>Dogs were randomly assigned to 2 feeding techniques, PPF or E feeding; for PPF, an 8\u2010Fr jejunal (J) tube was introduced through a standard 18\u2010Fr E\u2010tube and advanced endoscopically through the pylorus. A commercial liquid diet was administered at a continuous rate for at least 5 days. After the removal of the internal J\u2010tube, feeding was continued through the E\u2010tube. Control dogs were fed blended food 5 times daily through an E\u2010tube. Placement technique, nutritional efficiency, and metabolic response to nutritional support were compared between the groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Measurements and main results<\/jats:title><jats:p>Feeding tubes were placed a medium of 1 day (interquartile range, 0.8 d) after presentation. Median procedure\u2010time in the group PPF was 26.5\u00a0min (11.5\u00a0min), including 8.5\u00a0min (2.7\u00a0min) for the E\u2010tube and 17.5\u00a0min (5.0\u00a0min) for the J\u2010tube. J\u2010tubes were used for 5 days (1.5 d) with oral displacement observed in 3\/10 dogs. The goal to administer 130% resting energy requirement within 3 days was reached in 13\/20 dogs (8\/10 PPF, 5\/10 E). Despite nutritional support, dogs lost 1.2% body weight per day (1.1%), with no difference between the groups. The metabolic improvement was comparable between the groups, despite marked differences in the diet composition.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This new feeding technique can be recommended as an efficient method for early nutritional support in dogs with severe AKI. The protein\u2010energy wasting observed despite active nutritional support suggests, however, the necessity for increased feeding targets or qualitative changes in diet composition for dogs with AKI.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vec.12955","type":"journal-article","created":{"date-parts":[[2020,7,2]],"date-time":"2020-07-02T07:34:21Z","timestamp":1593675261000},"page":"384-395","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Evaluation of a novel non\u2010surgical post\u2010pyloric feeding technique in dogs with severe acute kidney injury"],"prefix":"10.1111","volume":"30","author":[{"given":"Sandro E.","family":"Hinden","sequence":"first","affiliation":[{"name":"Department of Clinical Veterinary Medicine Division of Small Animal Internal Medicine Vetsuisse Faculty University of Bern  Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ariane","family":"Schweighauser","sequence":"additional","affiliation":[{"name":"Department of Clinical Veterinary Medicine Division of Small Animal Internal Medicine Vetsuisse Faculty University of Bern  Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0181-0358","authenticated-orcid":false,"given":"Thierry","family":"Francey","sequence":"additional","affiliation":[{"name":"Department of Clinical Veterinary Medicine Division of Small Animal Internal Medicine Vetsuisse Faculty University of Bern  Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,7,2]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-141605484-9.50010-1"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-12-391934-2.00036-9"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2006.01.023"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2013.01.025"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ki.5002585"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533611414029"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118785546.ch49"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cvsm.2006.08.011"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cvsm.2010.10.001"},{"key":"e_1_2_8_11_1","first-page":"244","article-title":"The influence of dietary protein intake on progression of chronic renal failure in dogs","volume":"7","author":"Churchill J","year":"1992","journal-title":"Semin Vet Med Surg (Small Anim)"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0195-5616(89)50060-3"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2013.01.001"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1005695031233"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-9441(99)90017-5"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.2460\/javma.2000.217.1337"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1054\/clnu.2002.0574"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v13.i7.1123"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1053\/S1096-2867(03)00082-3"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.2460\/javma.2004.225.65"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1476-4431.2005.00173.x"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1476-4431.2009.00477.x"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1476-4431.2011.00625.x"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.5326\/JAAHA-MS-5514"},{"key":"e_1_2_8_25_1","first-page":"65","article-title":"A nonsurgical method for the placement of transpyloric (nasoenteric) feeding tubes using fluoroscopic guidance in dogs","volume":"38","author":"Wohl JS","year":"1999","journal-title":"Contemp Top Lab Anim Sci"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1939-1676.2007.tb02923.x"},{"key":"e_1_2_8_27_1","unstructured":"International Renal Interest Society (IRIS).http:\/\/iris-kidney.com\/guidelines\/grading.html. 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