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Amphibians, reptiles and fish
Permanent percutaneous endoscopic gastrotomy tube placement in a Hermann’s tortoise
  1. Siuna Ann Reid
  1. The Veterinary Health Centre Ltd, Lancashire, UK
  1. Correspondence to Dr Siuna Ann Reid; siunareid{at}


The patient had been diagnosed with renal insufficiency and hepatic lipidosis. A method had to be found to support the patient, providing fluids, nutrition and drug therapies. Standard oesophagostomy tube placement was not tolerated by the patient1. The tortoise kept removing the tube. An alternative method of delivering nutritional support, fluids and medical treatment was sought. No references were found indicating this is a novel method. The tube was fitted under general anaesthetic, through a 4-mm-diameter hole that was created in the second pleural scute above the bridge on the left side of the carapace. The hole in the carapace was filled using dental acrylic (Centri Base, WHW Plastics) and has only had to be replaced once in 18 months after placement.

  • peg tube
  • tortoise
  • oesophagostomy tube
  • carapace
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  • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data sharing statement There are no additional data available for this article.

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