Skip to main content
SpringerLink
Log in

Transnasal Fine Gastrointestinal Fiberscope-guided Long Tube Insertion for Patients with Small Bowel Obstruction

  • how i do it
  • Published:
Journal of Gastrointestinal Surgery

Abstract

Background

The use of a transnasal fine gastrointestinal fiberscope (TNF-GIF) has been rapidly disseminating in Japan. However, there has been no trial of long tube insertion (LTI) using the TNF-GIF for patients with small bowel obstruction (SBO).

Purpose

To examine whether TNF-GIF-guided LTI is superior to conventional LTI for patients with clinically diagnosed SBO.

Methods

The time required for LTI was determined prospectively in each group of patients who underwent the conventional method (group 1, n = 10) and the TNF-GIF-guided method (group 2, n = 10) between March 2007 and November 2007. Insertion time was compared between groups 1 and 2.

Results

Insertion time in group 2 was significantly shorter than that in group 1 (group 1, 22 ± 16 min versus group 2, 9.2 ± 5.4 min; P = 0.03).

Conclusions

Novel TNF-GIF-guided LTI is useful and superior to the conventional method.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Figure 1

Similar content being viewed by others

Abbreviations

BFS:

bronchofiberscope

LTI:

long tube insertion

NG tube:

nasogastric tube

STI:

short tube insertion

TNF-GIF:

transnasal fine gastrointestinal fiberscope

SBO:

small bowel obstruction

References

  1. Miller G, Boman J, Shrier I et al. Natural history of patients with adhesive small bowel obstruction. Br J Surg. 2000;87:1240–1247, doi:10.1046/j.1365-2168.2000.01530.x.

    Article  PubMed  CAS  Google Scholar 

  2. Fevang BT, Fevang J, Lie SA et al. Long-term prognosis after operation for adhesive small bowel obstruction. Ann Surg. 2004;240:193–201, doi:10.1097/01.sla.0000132988.50122.de.

    Article  PubMed  Google Scholar 

  3. Gowen GF. Long tube decompression is successful in 90% of patients with adhesive small bowel obstruction. Am J Surg. 2003;185:512–515, doi:10.1016/S0002-9610(03)00074-6.

    Article  PubMed  Google Scholar 

  4. Williams SB, Greenspon J, Young HA et al. Small bowel obstruction: conservative vs. surgical management. Dis Colon Rectum. 2005;48:1140–1146. doi:10.1007/s10350-004-0882-7.

    Article  PubMed  Google Scholar 

  5. Fleshner PR, Siegman MG, Slater GI et al. A prospective, randomized trial of short versus long tubes in adhesive small-bowel obstruction. Am J Surg. 1995;170:366–370, doi:10.1016/S0002-9610(99)80305-5.

    Article  PubMed  CAS  Google Scholar 

  6. Maglinte DD, Kelvin FM, Rowe MG et al. Small-bowel obstruction: optimizing radiologic investigation and nonsurgical management. Radiology 2001;218:39–46.

    PubMed  CAS  Google Scholar 

  7. Gowen GF. Rapid resolution of small-bowel obstruction with the long tube, endoscopically advanced into the jejunum. Am J Surg. 2007;193:184–189, doi:10.1016/j.amjsurg.2006.11.005.

    Article  PubMed  Google Scholar 

  8. Gowen GF, DeLaurentis DA, Stefan NM. Immediate endoscopic placement of a long intestinal tube in partial small bowel obstruction. Surg Gynecol Obstet. 1987;165:456–457.

    PubMed  CAS  Google Scholar 

  9. Gowen GF. Decompression is essential in the management of small bowel obstruction. Am J Surg. 1997;173:459–460, doi:10.1016/S0002-9610(97)00002-0.

    Article  PubMed  CAS  Google Scholar 

  10. Gowen GF. Long tube decompression in small bowel obstruction. J Pelvic Surg. 1997;3:43–47.

    Google Scholar 

  11. Gowen GF, Malloy TR. Prevention of postoperative adhesive obstruction using the long tube to splint the small bowel. J Pelvic Surg. 1998;4:174–179.

    Google Scholar 

  12. Brolin RE, Krasna MJ, Mast BA. Use of tubes and radiographs in the management of small bowel obstruction. Ann Surg. 1987;206:126–133, doi:10.1097/00000658-198708000-00002.

    Article  PubMed  CAS  Google Scholar 

  13. Johnson FW, Goodale RL, Leonard AS et al. Rapid long tube intubation of the jejunum by a new endoscopic device. Am J Surg. 1976;131:91–93, doi:10.1016/0002-9610(76)90427-X.

    Article  PubMed  CAS  Google Scholar 

  14. Fuchs G, Schwarz G, Baumgartner A et al. Fiberoptic intubation in 327 neurosurgical patients with lesions of the cervical spine. J Neurosurg Anesthesiol. 1999;11:11–16, doi:10.1097/00008506-199901000-00003.

    Article  PubMed  CAS  Google Scholar 

  15. Mizuno Y, Ukaji K. Usefulness of bronchofiberscopy for difficult intubation in patients with severe motor and intellectual disabilities. No To Hattatsu. 2005;37:499–504.

    PubMed  Google Scholar 

  16. Fang JC, Hilden K, Holubkov R et al. Transnasal endoscopy vs. fluoroscopy for the placement of nasoenteric feeding tubes in critically ill patients. Gastrointest Endosc. 2005;62:661–666. doi:10.1016/j.gie.2005.04.027.

    Article  PubMed  Google Scholar 

  17. Byrne KR, Fang JC. Endoscopic placement of enteral feeding catheters. Curr Opin Gastroenterol. 2006;22:546–550, doi:10.1097/01.mog.0000239871.12081.7f.

    Article  PubMed  Google Scholar 

  18. Wildi SM, Gubler C, Vavricka SR et al. Transnasal endoscopy for the placement of nasoenteral feeding tubes: does the working length of the endoscope matter. Gastrointest Endosc. 2007;66:225–229, doi:10.1016/j.gie.2006.12.054.

    Article  PubMed  Google Scholar 

  19. Endo H, Inamori M, Murakami T et al. Usefulness of transnasal ultrathin endoscopy for the placement of a postpyloric decompression tube. Digestion. 2007;75:181, doi:10.1159/000107937.

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

No financial support or other potential conflicts of interest exist.

All authors have no conflicts to disclose.

Author information

Authors and Affiliations

  1. Department of Gastroenterological Surgery, Dokkyo Medical University, 880 Kitakobayashi, Mibu, Tochigi, 321-0293, Japan

    Mitsuru Ishizuka, Hitoshi Nagata, Kazutoshi Takagi & Keiichi Kubota

Authors
  1. Mitsuru Ishizuka
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Hitoshi Nagata
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Kazutoshi Takagi
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Keiichi Kubota
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mitsuru Ishizuka.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ishizuka, M., Nagata, H., Takagi, K. et al. Transnasal Fine Gastrointestinal Fiberscope-guided Long Tube Insertion for Patients with Small Bowel Obstruction. J Gastrointest Surg 13, 550–554 (2009). https://doi.org/10.1007/s11605-008-0587-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11605-008-0587-7

Keywords

Search

Navigation