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Minerva Chirurgica 2015 October;70(5):327-30

lingua: Inglese

Adhesive small-bowel obstruction treatment using internal intestinal splinting with a nasointestinal ileus tube

Cui H., Jiang X., Li H.

Department of General Surgery, Affiliated Xuzhou Hospital of Dongnan University Medical College, Xuzhou, China


AIM: The aim of this paper was to investigate the effect of non-surgical internal intestinal splinting using an ileus tube under X-ray guidance.
METHODS: Sixteen patients with recurrent postoperative adhesive small bowel obstruction (SBO) received internal splinting using intubation of a 300 cm long ileus tube. Under X-ray guidance, the tube was advanced through nose, 10 cm beyond the jejunal ligament of Treitz. The tube was advanced towards the end of ileum and propelled by peristalsis using a water-filled anterior balloon of the tube, which directly dilated narrowed intestines. The tube remained in the intestine for further support and splinting.
RESULTS: All 16 patients achieved a resolution of the bowel obstruction without complications. During a follow-up of 8 months to 2 years, 1 patient had a recurrent obstruction 4 months post-procedure. The remaining patients did not experience obstruction recurrence.
CONCLUSION: Non-surgical, internal intestinal splinting using a nasointestinal ileus tube under X-ray was simple, non-invasive, safe and effective treatment of recurrent adhesive SBO.

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