A New Thin Endoscopic Method of Transanal Drainage Tube Insertion for Acute Colonic Obstruction Due to Colorectal Cancer

Ohnita, Ken; Shikuwa, Saburo; Isomoto, Hajime; Yamaguchi, Naoyuki; Okamoto, Kenta; Nishiyama, Hitoshi; Fukuda, Eiichiro; Nakamura, Takashi; Mizuta, Yohei; Kohno, Shigeru

doi:10.1111/j.1443-1661.2009.00901.x

Cited by 8 publications

(5 citation statements)

References 8 publications

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“…The good results obtained with obstruction due to anastomotic stricture suggest that this is an excellent indication for transanal drainage tube placement. Ohnita et al reported a method of transanal tube insertion using a thin endoscope [19]. We used this method successfully in one patient (No.…”

Section: Discussionmentioning

confidence: 93%

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Endoscopic decompression of benign large bowel obstruction using a transanal drainage tube

et al. 2012

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Section: Discussionmentioning

confidence: 93%

“…Ohnita et al. reported a method of transanal tube insertion using a thin endoscope [19]. We used this method successfully in one patient (No.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic decompression of benign large bowel obstruction using a transanal drainage tube

et al. 2012

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“…The internal diameter of a dilated SEMS is in the range of 18–25 mm [ 53 ]. DT, with an internal diameter of about 7 mm, is fixed by an inflated balloon catheter before the obstructive lesion [ 54 ]. The application of SEMS or DT as a BTS effectively relieves symptoms in patients with colorectal cancer obstruction, avoiding the need for emergency surgery.…”

Section: Discussionmentioning

confidence: 99%

Self-expanding metal stents versus decompression tubes as a bridge to surgery for patients with obstruction caused by colorectal cancer: a systematic review and meta-analysis

Ma,

Zhang,

Luo

et al. 2023

World J Emerg Surg

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Background Using self-expanding metal stents (SEMS) and decompression tubes (DT) as a bridge-to-surgery (BTS) treatment may avoid emergency operations for patients with colorectal cancer-caused obstructions. This study aimed to evaluate the efficacy and safety of the two approaches. Methods We systematically retrieved literature from January 1, 2000, to May 30, 2023, from the PubMed, Embase, Web of Science, SinoMed, Wanfang Data, Chinese National Knowledge Infrastructure, and Cochrane Central Register of Clinical Trials databases. Randomized controlled trials (RCTs) or cohort studies of SEMS versus DT as BTS in colorectal cancer obstruction were selected. Risks of bias were assessed for RCTs and cohort studies using the Cochrane Risk of Bias tool version 2 and Risk of Bias in Nonrandomized Studies of Interventions. Certainty of evidence was determined using the Graded Recommendation Assessment. Odds ratio (OR), mean difference (MD), and 95% confidence interval (95% CI) were used to analyze measurement data. Results We included eight RCTs and eighteen cohort studies involving 2,061 patients (SEMS, 1,044; DT, 1,017). Pooled RCT and cohort data indicated the SEMS group had a significantly higher clinical success rate than the DT group (OR = 1.99, 95% CI 1.04, 3.81, P = 0.04), but no significant difference regarding technical success (OR = 1.29, 95% CI 0.56, 2.96, P = 0.55). SEMS had a shorter postoperative length of hospital stays (MD = − 4.47, 95% CI − 6.26, − 2.69, P < 0.00001), a lower rates of operation-related abdominal pain (OR = 0.16, 95% CI 0.05, 0.50, P = 0.002), intraoperative bleeding (MD = − 37.67, 95% CI − 62.73, − 12.60, P = 0.003), stoma creation (OR = 0.41, 95% CI 0.23, 0.73, P = 0.002) and long-term tumor recurrence rate than DT (OR = 0.47, 95% CI 0.22, 0.99, P = 0.05). Conclusion SEMS and DT are both safe as BTS to avoid emergency surgery for patients with colorectal cancer obstruction. SEMS is preferable because of higher clinical success rates, lower rates of operation-related abdominal pain, intraoperative bleeding, stoma creation, and long-term tumor recurrence, as well as a shorter postoperative length of hospital stays. Trial registrationCRD42022365951.

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“…The primary option for colorectal cancer patients is surgery. For right-sided colonic cancer obstruction or chronic partial obstruction, stage 1 whole resection and anastomosis is preferred following sufficient preoperative bowel preparation (9,10). …”

Section: Discussionmentioning

confidence: 99%

Clinical application of transanal ileal tube placement using X-ray monitoring

Shao

et al. 2016

Oncology Letters

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Colorectal cancer, which includes colon and rectal cancer, is a common digestive tract tumor. Although surgery is the primary form of treatment, there are a number of drawbacks, including patients experiencing considerable pain and high cost. The present study was undertaken to examine the clinical value of transanal ileal tube placement under X-ray monitoring. Thirty-six cases of left colon obstruction presenting to our hospital between July 2011 and February 2014, underwent transanal ileal tube placement using a single-curve catheter guided by a guidewire under X-ray monitoring. An ileal tube was successfully inserted into 32 patients. Clinical symptoms were alleviated effectively within 48 h. Indwelling catheter decompression time was 4–9 days with an average of 5.61 days. In two cases, the colon guidewire perforated into the abdominal cavity. Repeated exploration resistance of the guidewire and catheter indicated stenosis at this position owing to obstruction. In conclusion, transanal placement of the ileal tube through X-ray monitoring is capable of effectively alleviating the symptoms of ileus. Thus, this constitutes a safe, effective, and economical method that is acceptable to patients.

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A New Thin Endoscopic Method of Transanal Drainage Tube Insertion for Acute Colonic Obstruction Due to Colorectal Cancer

Cited by 8 publications

References 8 publications

Endoscopic decompression of benign large bowel obstruction using a transanal drainage tube

Endoscopic decompression of benign large bowel obstruction using a transanal drainage tube

Self-expanding metal stents versus decompression tubes as a bridge to surgery for patients with obstruction caused by colorectal cancer: a systematic review and meta-analysis

Clinical application of transanal ileal tube placement using X-ray monitoring

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