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New insertion method of transnasal ileus tube for small bowel obstruction: Anterior balloon method.
Yamaguchi, Daisuke; Ikeda, Kei; Takeuchi, Yuki; Kinoshita, Rikako; Higuchi, Toru; Fukuda, Hiroko; Tominaga, Naoyuki; Morisaki, Tomohito; Ario, Keisuke; Tsunada, Seiji; Yoshida, Hisako; Fujimoto, Kazuma.
Afiliación
  • Yamaguchi D; Department of Gastroenterology, National Hospital Organization Ureshino Medical Center, Ureshino, Japan.
  • Ikeda K; Department of Internal Medicine, Saga Medical School, Saga, Japan.
  • Takeuchi Y; Department of Gastroenterology, National Hospital Organization Ureshino Medical Center, Ureshino, Japan.
  • Kinoshita R; Department of Gastroenterology, National Hospital Organization Ureshino Medical Center, Ureshino, Japan.
  • Higuchi T; Department of Gastroenterology, National Hospital Organization Ureshino Medical Center, Ureshino, Japan.
  • Fukuda H; Department of Internal Medicine, Saga Medical School, Saga, Japan.
  • Tominaga N; Department of Gastroenterology, National Hospital Organization Ureshino Medical Center, Ureshino, Japan.
  • Morisaki T; Department of Internal Medicine, Saga Medical School, Saga, Japan.
  • Ario K; Department of Gastroenterology, National Hospital Organization Ureshino Medical Center, Ureshino, Japan.
  • Tsunada S; Department of Gastroenterology, National Hospital Organization Ureshino Medical Center, Ureshino, Japan.
  • Yoshida H; Department of Gastroenterology, National Hospital Organization Ureshino Medical Center, Ureshino, Japan.
  • Fujimoto K; Department of Medical Statistics, Osaka City University Graduate School of Medicine, Osaka, Japan.
PLoS One ; 13(11): e0207099, 2018.
Article en En | MEDLINE | ID: mdl-30462677
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Descompresión Quirúrgica / Cirugía Endoscópica por Orificios Naturales / Obstrucción Intestinal / Intestino Delgado Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2018 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Descompresión Quirúrgica / Cirugía Endoscópica por Orificios Naturales / Obstrucción Intestinal / Intestino Delgado Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2018 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos