Decompression of the small bowel by endoscopic long-tube placement

AIM：To investigate and compare the decompression effect on small bowel obstruction of a long tube inserted using either endoscopic or fluoroscopic placement.METHODS：Seventy-eight patients with small bowel obstruction requiring decompression were enrolled in the study and divided into two groups.Intu...

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Bibliographic Details
Published in:World journal of gastroenterology : WJG 2012-04, Vol.18 (15), p.1822-1826
Main Authors: Guo, Shi-Bin, Duan, Zhi-Jun
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Brief
Decompression, Surgical - methods
Endoscopy, Gastrointestinal
Female
Fluoroscopy
Humans
Intestinal Obstruction - surgery
Intestine, Small - surgery
Male
Middle Aged
内镜
减压
安置
小肠
平均时间
粘连性
肠梗阻
长管
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Description
Summary:AIM：To investigate and compare the decompression effect on small bowel obstruction of a long tube inserted using either endoscopic or fluoroscopic placement.METHODS：Seventy-eight patients with small bowel obstruction requiring decompression were enrolled in the study and divided into two groups.Intubation of a long tube was guided by fluoroscopy in one group and by endoscopy in the other.The duration of the procedure and the success rate for each group were evaluated.RESULTS：A statistically significant difference in the mean duration of the procedure was found between the fluoroscopic group（32.6±14.6 min）and the endoscopic group（16.5±7.8 min）among the cases classified as successful（P0.05）.The success rate was significantly different between the groups：88.6%in the fluoroscopic group and 100%in the endoscopic group（P 0.05）.CONCLUSION：For patients with adhesive small bowel obstruction,long-tube decompression is recommended and long-tube insertion by endoscopy was superior to fluoroscopic placement.
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.v18.i15.1822