Successful treatment of feline pancreatitis using an endoscopically placedgastrojejunostomy tube

A cat with pancreatitis, diagnosed using abdominal ultrasonography, fine-ne edle aspirate cytopathology, and increased concentration of serum trypsin-l ike immunoreactive substance, was treated successfully using jejunal alimen tation provided through a percutaneous gastrojejunostomy tube. This method of jejunal feeding is less technically difficult, less stressful for the pa tient, and has fewer complications than surgically placed jejunostomy tubes . Nutritional support with jejunal feeding is superior to total parenteral nutrition, as it maintains gut integrity, decreases septic complications, a nd may reduce exogenous insulin requirements. The methods of tube insertion and maintenance, and the physiological advantages over other feeding metho ds are described.