Predictive factors for surgical indication in adhesive small bowel obstruction

Long-tube insertion with the ropeway method facilitated by a guidewire placed by transnasal ultrathin endoscopy for bowel obstruction: a prospective, randomized, controlled trial

“…5 Although a randomized trial indicated no advantage of decompression by a long tube compared with such treatment with a short nasogastric tube, 13 there have been reports from many countries describing the usefulness of long-tube decompression for the management of bowel obstruction. [2][3][4][5][6][7][8] However, it is often difficult to insert a tube in the small bowel, thus resulting in long procedure time and severe patient distress.…”

“…A long tube is placed to decompress the obstructed intestine by aspirating the intestinal contents, which results in favorable outcomes, including decreased edema, improvement of the circulation of the involved intestine, and correction of intestinal kinking. [2][3][4][5] Although long-tube insertion is widely used in clinical practice in many countries, [2][3][4][5][6][7][8] it is sometimes difficult to intubate the small bowel with a long tube, resulting in long procedure time, severe patient distress, and increased x-ray exposure when the procedure is performed under fluoroscopy.…”

Da-Cheng-Qi decoction, a traditional Chinese herbal formula, for intestinal obstruction: Systematic review and meta-analysis

“…The study population well represented the general intestinal obstruction population in terms of age and pathogenesis. The success rate of conservative therapy alone was near to the previous study reported (Tanaka et al, 2008). We were also rigorous in describing our search strategy, eligibility criteria, and data extraction processes in detail.…”

Delayed diagnosis of traumatic diaphragmatic rupture

“…5 Tanaka and colleagues reported that an increased level of CPK (≥130 IU/l) was an independent predictive factor for surgical need in cases of adhesive small bowel obstruction. 6 In our case, we anticipated a need for surgical intervention because of the high CPK level. However, upon thoracotomy, the bowels were found to be in only a mild ischemic state; and our specialist in laparoscopic surgery determined that there was no need for laparotomy or bowel resection.…”