New insertion method of transnasal ileus tube for small bowel obstruction: Anterior balloon method.
PLoS One
; 13(11): e0207099, 2018.
Article
de En
| MEDLINE
| ID: mdl-30462677
ABSTRACT
BACKGROUND:
Small bowel obstruction (SBO) is usually caused by postoperative adhesions and malignant disease, and decompression is effective for SBO. Our previous case report suggested that a new transnasal ileus tube insertion method, the anterior balloon method (ABM), could achieve decompression for adhesive SBO.AIMS:
The study aimed to investigate the effectiveness of a new method for inserting transnasal ileus tubes in patients with SBO.METHODS:
Altogether, 134 patients with small bowel obstruction treated from January 2011 to December 2017 were reviewed. The patients were categorized into two groups those with the new method that inserts an anterior balloon (ABM group 52 patients, 2014-2017) versus those with the ordinary insertion method (OIM group 82 patients, 2011-2014).RESULTS:
The patients' characteristics and symptoms on admission were similar in the ABM and OIM groups. Adhesions were the main cause of ileus in the two groups. The insertion time duration was significantly shorter in the ABM group than in OIM group (28.4 ± 9.1 vs. 33.5 ± 13.0 min; p = 0.01). The ABM group also had significantly longer tubes than OIM group (222.4 ± 32.2 vs. 157.4 ± 31.7 cm; p < 0.001), which resulted in a significantly shorter time until clinical symptoms were relieved in ABM group. There were no significant differences in adverse events between the two groups.CONCLUSIONS:
The ABM group had shorter insertion duration and longer tubes than those of OIM group. The ABM might become a preferred therapeutic choice to achieve decompression in patients with SBO.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Décompression chirurgicale
/
Chirurgie endoscopique par orifice naturel
/
Occlusion intestinale
/
Intestin grêle
Type d'étude:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limites:
Aged
/
Female
/
Humans
/
Male
Langue:
En
Journal:
PLoS One
Sujet du journal:
CIENCIA
/
MEDICINA
Année:
2018
Type de document:
Article
Pays d'affiliation:
Japon