Home > Journals > Minerva Chirurgica > Past Issues > Minerva Chirurgica 2016 April;71(2) > Minerva Chirurgica 2016 April;71(2):85-90

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints
Cite this article as

MINERVA CHIRURGICA

A Journal on Surgery


Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,115


eTOC

 

ORIGINAL ARTICLES  


Minerva Chirurgica 2016 April;71(2):85-90

Copyright © 2016 EDIZIONI MINERVA MEDICA

language: English

Efficacy of intestinal decompression with long nasointestinal tube and selective contrast radiography in the treatment of small bowel obstruction in elderly patients

De C. LI 1, Rui H. LI 2, Qingzhong TIAN 3

1 Department of Radiology, Xuzhou Hospital, Xuzhou Central Hospital, Southeast University, Xuzhou, Jiangsu Province, China; 2 Department of Gastroenterology, Xuzhou Hospital, Xuzhou Central Hospital, Southeast University, Xuzhou, Jiangsu Province, China; 3 Department of Oncological Surgery, Xuzhou Hospital, Xuzhou Central Hospital, Southeast University, Xuzhou, Jiangsu Province, China


PDF  


BACKGROUND: This study’s aim was to assess the efficacy of intestinal decompression with long tube and selective intestinal radiography in the diagnosis and treatment of small bowel obstruction (SBO) in elderly patients.
METHODS: Thirty-two elderly patients with SBO received intestinal decompression with a 300-cm long nasointestinal tube inserted into upper jejunum under radiographic control. The long tube was passed into the proximal part of obstruction or the proximal end of ileum driven by intestinal peristalsis. Selective contrast radiography was done using direct injection of double-contrast medium consisting of 20-100 mL of 76% gastrografin and 50-200 mL of air. The dynamic and multi-position radiographic observation was conducted.
RESULTS: Intubation was successful in all 32 patients. SBO resolution was successful in 29/32 (90.6%) patients. The 3 remaining patients proceeded to undergo surgery. Radiographic findings showed no obvious abnormalities in 25/32 (78.1%) patients, adhesive SBO in 6/32 (18.6%), and metastatic intestinal tumor in 1/32 (3.1%) patient.
CONCLUSIONS: Decompression using long tube can quickly and effectively relieve obstructive symptoms in elderly patients, and help to avoid emergency surgery and to resolve obstruction. Concurrent contrast radiography is helpful to verify the location and degree of obstruction, and to reveal the cause of the obstruction.

top of page

Publication History

Cite this article as

Li DC, Li RH, Tian Q. Efficacy of intestinal decompression with long nasointestinal tube and selective contrast radiography in the treatment of small bowel obstruction in elderly patients. Minerva Chir 2016 April;71(2):85-90. 

Corresponding author e-mail

lidechun7878@sina.com