Placement of a Long Intestinal Tube in Patients with Early Postoperative Small Bowel Obstruction under Fluoroscopic Guidance

Wang Zhi-wei; Li Xiao-guang; Pan Jie; Yang Ning; Shi Hai-feng; Jin* Zheng-yu

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Placement of a Long Intestinal Tube in Patients with Early Postoperative Small Bowel Obstruction under Fluoroscopic Guidance

Chinese Medical Sciences Journal Vol. 30, Issue 3, Pages: 156-161(2015)

Orginal Article | Updated：2024-04-10

- Placement of a Long Intestinal Tube in Patients with Early Postoperative Small Bowel Obstruction under Fluoroscopic Guidance
- Affiliations：
  
  Department of Radiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
- Author bio：
- Funds：
- DOI：
  CLC：
- Published Online：20 June 2015，
  
  Published：2015-06
- Accepted：
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Wang Zhi-wei, Li Xiao-guang, Pan Jie, et al. Placement of a Long Intestinal Tube in Patients with Early Postoperative Small Bowel Obstruction under Fluoroscopic Guidance[J]. Chinese medical sciences journal, 2015, 30(3): 156-161.
DOI：

Wang Zhi-wei, Li Xiao-guang, Pan Jie, et al. Placement of a Long Intestinal Tube in Patients with Early Postoperative Small Bowel Obstruction under Fluoroscopic Guidance[J]. Chinese medical sciences journal, 2015, 30(3): 156-161. DOI：

摘要

Abstract

Objective

To investigate the placement of a long tube into the small intestine under fluoroscopic guidance and to evaluate its decompression effect on early postoperative small bowel obstruction (EPSBO).

Methods

Fifty-four patients with EPSBO requiring decompression between April 2010 and July 2014 were enrolled in the study. Insertion of a long tube was guided by fluoroscopy. We first used the guide wire to pass the pylorus and then used the 10 Fr feeding tube as an exchangeable tube to put the superstiff wire into the duodenum. Finally the long tube could be passed over the guide wire through the pylorus into the intestine. The total procedure time

the radiation exposure time

and the incidence of complications were evaluated.

Results

The long tubes passed into the jejunum on initial insertion for all patients

so the success rate of this technique was 100%. The long tube was inserted into ileum in 18 patients. The mean total procedure time was 34.4±8.6 minutes

and the mean radiation exposure time 18.9±6.8 minutes. A total of 47 patients (87%) experienced full recovery following long-tube decompression and without the need for surgical intervention.

Conclusions

Using the wire-exchange technique

it is easy to place a long tube into the small bowel under fluoroscopic guidance. This decompression method is safe and effective for management of EPSBO.

关键词

Keywords

references

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