A naso-esophageal or naso-gastric tube refers to a flexible fine bore tube that is passed via the cat's nose down into the esophagus or the stomach.
To place one, the vet marks the tube with the distance from the cat's nostrils to the fifth rib. The cat is then lightly sedated and a few drops of local anesthetic dripped up the cat's nose. The tube is carefully inserted into the nose and gently advanced until the marker is reached. The vet then x-rays the cat to check the tube is correctly positioned and then glues or stitches it in place.
Placing an esophageal tube is more complex and requires a full anesthetic. The advantage is that a wider bore tube is inserted and can be left in place for longer.
The cat is anesthetized and forceps passed via the mouth into the esophagus. An incision is made in the skin over the forceps, such that the tip of the jaws can grip the feeding tube. The tube is pulled through the skin incision, into the esophagus, and up out of the mouth, leaving one end sticking out of the incision. The tube is then fed back down the gullet into the stomach. The free end sticking out of the incision is sutured in place with a Chinese finger trap.