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How to Place an Oesophagostomy Tube in a Cat

Oesophagostomy tube use in cats: A guide for new vets

In this post, we’ll explain the indications for using esophagostomy (O-tubes) in cats.

The primary reason for placing esophagostomy tubes in cats is to ensure adequate enteral nutrition, especially when oral feeding is not possible. O-tubes also facilitate medication administration. They can be left in place for extended periods—sometimes months—and are generally well-tolerated by cats.

Procedure overview

The placement of an O-tube is a relatively straightforward process.

Here are the key steps and considerations.

Preparation: Sterile preparation of the neck is essential, though full drapes are often challenging to use in this procedure. The tube is generally inserted mid-cervical or slightly more caudal, depending on the patient’s anatomy.

Equipment: You will need a set of long, curved forceps. Ensure they have good gripping teeth to secure the feeding tube during the procedure.

How to place an oesophagostomy tube in a cat

The procedure

Position the cat with assistance if possible. While the procedure can be performed solo, having help can improve efficiency and reduce complications.

Insert the forceps into the left side of the cat’s mouth, directing them down the esophagus. Ensure the forceps are correctly positioned before proceeding. With the forceps placed, have your assistant apply counter-pressure at the desired insertion site on the neck.

Make a small incision through the skin and esophagus, ensuring the forceps can be pushed through. 

Once the forceps protrude through the esophagus, attach the feeding tube tip securely. Your assistant will then pull the feeding tube through the mouth.

Tube placement:

1. Pull the tube all the way through the mouth and loop it back into the esophagus.
2. Thread the tube down the esophagus as far as possible. Use a pre-measured tube to ensure it reaches the insertion site in the area between the 8th and 10th ribs.
3. Confirm the correct placement of the tube with a radiograph.

Post-procedure care and complications

Complications are rare but can include:

  • Infection: Watch the cat for signs of infection at the stoma site (insertion area).
  • Esophagitis or nausea: Symptoms like regurgitation or drooling may indicate esophagitis, which can typically be managed with antiemetics and ensuring slow feeding through the tube.

One key point is to administer food slowly through the tube. Rapid feeding can induce nausea and vomiting, so patience is crucial.

Esophagostomy tubes are an effective way to provide both nutrition and medications to cats who are unable to eat orally. With proper placement and care, they can be a highly successful long-term solution.

Are you worried about your cat’s health?

If you are concerned about your cat, please reach out to our friendly team. Call us on 1300 228 377 or fill out the contact form below. In an emergency, please contact your local vet.

For vets – to refer a patient or book a telehealth consultation, please call us on 1300 228 377, book through the portal or fill in the form.

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Contacting Us

Pet Owners
If you would like to talk about treatment for your cat, call us on 1300 228 377 or fill in the form.
In an emergency, please contact your local vet.

Vets and Nurses
To refer a patient or book a telehealth consultation please call us on 1300 228 377, book through the portal or fill in the form. For advice calls, please see the guidelines here.

1300 228 377
1-15 Lexington Rd,
Underwood, QLD, AU, 4119
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