Effective insertion method of transnasal ileus tube for adhesive small bowel obstruction

Yamaguchi, Daisuke; Morisaki, Tomohito; Tsunada, Seiji

doi:10.1111/den.12971

Cited by 9 publications

(5 citation statements)

References 4 publications

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“…As indicated in our previous case report [ 10 ], the new effective transnasal ileus tube insertion method—the ABM—was used from January 2014 through December 2017. The ABM ileus tube had anterior and posterior balloons.…”

Section: Methodsmentioning

confidence: 99%

“…Our previous case report suggested that a new transnasal ileus tube insertion method, the anterior balloon method (ABM), could achieve decompression for adhesive SBO [ 10 ]. The aim of this retrospective evaluation was to compare the clinical outcomes of insertion with the ABM versus that with the ordinary insertion method (OIM) to achieve decompression for patients with SBO.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

New insertion method of transnasal ileus tube for small bowel obstruction: Anterior balloon method

Yamaguchi¹,

Ikeda

Takeuchi

et al. 2018

PLoS ONE

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BackgroundSmall 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.AimsThe study aimed to investigate the effectiveness of a new method for inserting transnasal ileus tubes in patients with SBO.MethodsAltogether, 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).ResultsThe 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.ConclusionsThe 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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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

New insertion method of transnasal ileus tube for small bowel obstruction: Anterior balloon method

Yamaguchi¹,

Ikeda

Takeuchi

et al. 2018

PLoS ONE

Self Cite

View full text Add to dashboard Cite

show abstract

“…However, there have conventionally been clinical concerns with regard to the technical di culty associated with the insertion of a long intestinal tube under radiography, which requires a long time and involves a high radiation dose. Recently, many types of useful tube insertion methods have been reported, and they allow easy insertion of an ileus tube in patients with small bowel obstruction [13][14][15][16][17][18]. Treatment using an ileus tube should be selected in patients with small bowel obstruction owing to its usefulness and high effectiveness.…”

Section: Discussionmentioning

confidence: 99%

Efficacy and timing of gastrografin administration after ileus tube insertion in patients with adhesive small bowel obstruction

Esaki

Tamura

Ichijima

et al. 2022

Arab Journal of Gastroenterology

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Background: Gastrointestinal decompression through ileus tube is useful for the treatment of adhesive small bowel obstruction (ASBO). Gastrogra n administration through the ileus tube is performed if decompression therapy fails to relieve obstruction. However, the e cacy and appropriate timing of gastrogra n administration are unclear. This study aimed to evaluate the e cacy of gastrogra n administration within 48 h after admission. Methods: This retrospective study used the data of patients with ASBO admitted to our hospital between January 2014 and August 2018 and included those who underwent ileus tube intubation but did not achieve obstruction relief for over 24 h after admission. The patients were classi ed into the following two groups: those treated with gastrogra n administration within 48 h after admission (EGA group) and those treated without gastrogra n administration within 48 h after admission (non-EGA [NEGA] group). Propensity-score matching was performed to compensate for confounding differences between the groups. The short-term outcomes including the rate of successful conservative management without surgery, the period until the rst stool, the period of ileus tube intubation, the total period of hospital admission, and adverse events due to gastrogra n administration were evaluated and compared between the two groups. Results: This study included 152 patients: 67 in the EGA group and 85 in the NEGA group. Fifty-ve pairs were matched with similar background characteristics. After matching, the rates of successful conservative management were 89.1% (49/55) and 94.5% (52/55) in the matched EGA and NEGA groups, respectively (P=0.49). Although the median insertion days of ileus tube in the NEGA group were signi cantly lesser than those in the EGA group (7 [5-9] vs. 5 [4.5-7], P=0.017), other therapeutic outcomes did not differ signi cantly. In the NEGA group, 5.5%(3/55) achieved obstruction relief without gastrogra n administration. Aspiration pneumonia occurred in one patients of EGA group. Conclusions: Gastrogra n administration with ileus tube achieved a high rate of successful conservative management. Follow-up by decompression with ileus tube for at least 48 h after admission is required in patients with ASBO, which may avoid unnecessary gastrogra n administration and consequently reduce the total cost of treatment.

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“…However, there have conventionally been clinical concerns with regard to the technical difficulty associated with the insertion of a long intestinal tube under radiography, which requires a long time and involves a high radiation dose. Recently, many types of useful tube insertion methods have been reported, and they allow easy insertion of an ileus tube in patients with small bowel obstruction [13][14][15][16][17][18]. Treatment using an ileus tube should be selected in patients with small bowel obstruction owing to its usefulness and high effectiveness.…”

Section: Discussionmentioning

confidence: 99%

Efficacy and timing of gastrografin administration after ileus tube insertion in patients with adhesive small bowel obstruction

Tamura

Esaki

Ichijima

et al. 2020

Preprint

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Background: Gastrointestinal decompression through ileus tube is useful for the treatment of adhesive small bowel obstruction (ASBO). Gastrografin administration through the ileus tube is performed if decompression therapy fails to relieve obstruction. However, the efficacy and appropriate timing of gastrografin administration are unclear. This study aimed to evaluate the efficacy of gastrografin administration within 48 h after admission. Methods: This retrospective study used the data of patients with ASBO admitted to our hospital between January 2014 and August 2018 and included those who underwent ileus tube intubation but did not achieve obstruction relief for over 24 h after admission. The patients were classified into the following two groups: those treated with gastrografin administration within 48 h after admission (EGA group) and those treated without gastrografin administration within 48 h after admission (non-EGA [NEGA] group). Propensity-score matching was performed to compensate for confounding differences between the groups. The short-term outcomes including the rate of successful conservative management without surgery, the period until the first stool, the period of ileus tube intubation, the total period of hospital admission, and adverse events due to gastrografin administration were evaluated and compared between the two groups. Results: This study included 152 patients: 67 in the EGA group and 85 in the NEGA group. Fifty-five pairs were matched with similar background characteristics. After matching, the rates of successful conservative management were 89.1% (49/55) and 94.5% (52/55) in the matched EGA and NEGA groups, respectively (P=0.49). Although the median insertion days of ileus tube in the NEGA group were significantly lesser than those in the EGA group (7 [5–9] vs. 5 [4.5–7], P=0.017), other therapeutic outcomes did not differ significantly. In the NEGA group, 5.5% (3/55) achieved obstruction relief without gastrografin administration. Aspiration pneumonia occurred in one patients of EGA group. Conclusions: Gastrografin administration with ileus tube achieved a high rate of successful conservative management. Follow-up by decompression with ileus tube for at least 48 h after admission is required in patients with ASBO, which may avoid unnecessary gastrografin administration and consequently reduce the total cost of treatment.

show abstract

Effective insertion method of transnasal ileus tube for adhesive small bowel obstruction

Cited by 9 publications

References 4 publications

New insertion method of transnasal ileus tube for small bowel obstruction: Anterior balloon method

New insertion method of transnasal ileus tube for small bowel obstruction: Anterior balloon method

Efficacy and timing of gastrografin administration after ileus tube insertion in patients with adhesive small bowel obstruction

Efficacy and timing of gastrografin administration after ileus tube insertion in patients with adhesive small bowel obstruction

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