Abstract
This study describes clinical experience and curative effect of radiophotographically controlled nasointestinal intubation in the treatment of small intestine arrangement in recurrent postoperative adhesive ileus. A 300-cm-long nasointestinal tube was installed into the jejunum through the nasal cavity under radiophotographic observation in 25 patients with recurrent postoperative adhesive ileus. The tube was advanced into the ileum by enterokinesia to relieve adhesive ileus and conduct small bowel arrangement. Duration of tube installation was 13 ± 11 min (range of 9–36 min). The success rate was 88 %. In 3 patients, assistance by a gastroscope was required. Twenty-one out of 25 patients were cured, making the cure rate of 84 %. The time for intestinal arrangement was 18.5 ± 3 days. The patients were followed up for 6 months to 2 years; there was 1 case of recurrence, while other patients recovered smoothly with no recurrence. A non-surgical nasointestinal intubation under radiophotography is a simple, safe, and effective management with few complications and beneficial outcome in recurrent postoperative adhesive ileus.
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References
Zheng, Q., Zou, S., & Zhang, C. (2004). Internal intestinal splinting in the management of recurrent postoperative massive adhesive ileus. Chinese Journal of Gastroenterology Surgery, 7, 471–473. (in Chinese).
Zhou, H., Zheng, J., & Shen, K. (2008). Clinical research of curative effect of malignant partial intestinal obstruction treated with anus catheter infusion of herbs plus chemotherapy. Shanghai Journal of Traditional Chinese Medicine, 42, 37–39. (in Chinese).
Shu, M., Peng, C., & Chen, H. (2006). Relationship between intra-abdominal hypertension and acute renal failure after liver transplantation. Chinese Journal of Organ Transplantation, 27, 22–25. (in Chinese).
Chen, G., & Liu, Y. (2003). Operative indications of intestinal obstruction and exploratory laparotomy. Chinese Journal of Practical Surgery, 23, 298–400. (in Chinese).
Ren, J., & Li, J. (2000). Application of intestine arrangement to prevent adhesive intestinal obstruction. Chinese Journal of Practical Surgery, 20, 502–504. (in Chinese).
Zhang, L., Yang, C., & Chen, C. (2004). Arrangement of built-intestinal tube and complicated intestinal obstruction treated by enteral nutrition therapy. Journal of Clinical Surgery, 12, 386–387. (in Chinese).
Li, J., Zhou, B., & Liu, L. (2005). 22 cases of adhesive small bowel obstruction treated by mesenteric intubation treatment. Journal of Digestive Surgery, 4, 193–228. (in Chinese).
Yao, H., Fu, W., & Yuan, J. (2006). Study of nasointestinal decompression intubation in the role of treating acute adhesive small bowel obstruction. Chinese Journal of General Surgery, 21, 754–755. (in Chinese).
Gowen, G. F. (2007). Rapid resolution of small-bowel obstruction with the long tube, endoscopically advanced into the jejunum. American Journal of Surgery, 193, 184–189.
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Li, Rh., Li, Dc., Lv, Xp. et al. Radiophotographically Controlled Nasointestinal Intubation to Treat Recurrent Postoperative Adhesive Ileus. Cell Biochem Biophys 72, 509–514 (2015). https://doi.org/10.1007/s12013-014-0496-1
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DOI: https://doi.org/10.1007/s12013-014-0496-1