Decompression of the small bowel by endoscopic long-tube placement

doi:10.3748/wjg.v18.i15.1822

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Apr 21, 2012; 18(15): 1822-1826
Published online Apr 21, 2012. doi: 10.3748/wjg.v18.i15.1822

Decompression of the small bowel by endoscopic long-tube placement

Shi-Bin Guo, Zhi-Jun Duan

Shi-Bin Guo, Department of Gastroenterological Endoscopy, the First Affiliated Hospital of Dalian Medical University, Dalian 116001, Liaoning Province, China

Zhi-Jun Duan, Department of Gastroenterology, the First Affiliated Hospital of Dalian Medical University, Dalian 116001, Liaoning Province, China

Author contributions: Guo SB and Duan ZJ designed the study and analyzed the data; Guo SB performed the experiments and wrote the manuscript.

Correspondence to: Shi-Bin Guo, Vice Professor, Department of Gastroenterology, the First Affiliated Hospital of Dalian Medical University, Dalian 116011, Liaoning Province, China. gsb@dl.cn

Telephone: +86-411-83635963 Fax: +86-411-83632383

Received: August 1, 2011
Revised: November 24, 2011
Accepted: March 10, 2012
Published online: April 21, 2012

Abstract

AIM: To investigate and compare the decompression effect on small bowel obstruction of a long tube inserted using either endoscopic or fluoroscopic placement.

METHODS: Seventy-eight patients with small bowel obstruction requiring decompression were enrolled in the study and divided into two groups. Intubation of a long tube was guided by fluoroscopy in one group and by endoscopy in the other. The duration of the procedure and the success rate for each group were evaluated.

RESULTS: A statistically significant difference in the mean duration of the procedure was found between the fluoroscopic group (32.6 ± 14.6 min) and the endoscopic group (16.5 ± 7.8 min) among the cases classified as successful (P < 0.05). The success rate was significantly different between the groups: 88.6% in the fluoroscopic group and 100% in the endoscopic group (P < 0.05).

CONCLUSION: For patients with adhesive small bowel obstruction, long-tube decompression is recommended and long-tube insertion by endoscopy was superior to fluoroscopic placement.

Keywords: Long-tube insertion; Small bowel obstruction; Decompression; Gastroscope; Fluoroscopic guidance