Abstract
This study details improvements in the intubation of a long intestinal decompression tube by use of a new flexible tip guide wire and a new intestinal decompression tube. The intubation route of the endoscope was changed from the oral to the nasal cavity. Although the guide wire formerly used (TGBD-65-345) could be inserted into the descending part of the duodenum by passing it through the biopsy channel of the endoscope, with this new method, the guide wire (TGBD-65-450) could be inserted into the upper jejunum. The endoscope could also be left in the stomach, when this method was used. The long tube was introduced along this guide wire into the upper jejunum. As a result of these improvements, the intubation rate for long intestinal decompression tubes was significantly more rapid and the time reduced. Intubation rate to the jejunum was 96 percent successful, as compared with a former success rate of 75 percent. The intubation time was decreased to 11.3±5.6 min. to the duodenum and 18.6±8.6 min. to the upper jejunum. This differs markedly from the former method which required 16.0±5.3 min. and 39.6±22.7 min, respectively.
Similar content being viewed by others
References
Kawamura R, Okabe M, Namikawa K, Yufu M, Taki K, Mitsuno T, Araki M, Horie J, Ohtsuka M. Endoscopic intubation of the long intestinal tube with wire guide under the fluoroscope. Shokaki Geka (Gsatroenterological Surgery) 1982; 5: 237–242. (in Japanese)
Keller RT. A technique of intestinal intubation with the fiberoptic endoscope. Gut 1973; 14: 143–144.
Chung RSK, Denbesten L. Improved technique for placement of intestinal feeding tube with the fiberoptic endoscope. Gut 1976; 17: 264–266.
Johnson FW, Goodale RL, Leonard AS, Varco RL. Rapid long tube intubation of the jejunum by a new endoscopic device. Amer J Surg 1976; 31: 91–93.
Morrissey JF, Douglas DD. An endoscopic method for the rapid passage of tubes into the small intestine. Gastroenterological Endoscopy 1978; 20: 1247–1249.
Dennis C. The gastrointestinal (sump) tube. Surgery 1969; 66: 309–312.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Kawamura, R., Okabe, M. & Misumi, A. Rapid long tube intubation of the jejunum —an improved technique—. The Japanese Journal of Surgery 14, 299–304 (1984). https://doi.org/10.1007/BF02469645
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02469645