首页|A prospective randomized trial of transnasal ileus tube vs nasogastric tube for adhesive small bowel obstruction

A prospective randomized trial of transnasal ileus tube vs nasogastric tube for adhesive small bowel obstruction

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AIM:To study the therapeutic efficacy of a new transnasal ileus tube advanced endoscopically for adhesive small bowel obstruction.METHODS:A total of 186 patients with adhesive small bowel obstruction treated from September 2007 to February 2011 were enrolled into this prospective randomized controlled study.The endoscopically advanced new ileus tube was used for gastrointestinal decompression in 96 patients and ordinary nasogastric tube (NGT) was used in 90 patients.The therapeutic efficacy was compared between the two groups.RESULTS:Compared with the NGT group,the ileus tube group experienced significantly shorter time for relief of clinical symptoms and improvement in the findings of abdominal radiograph (4.1 ± 2.3 d vs 8.5 ± 5.0 d) and laboratory tests (P ＜ 0.01).The overall effectiveness rate was up to 89.6％ in the ileus tube group and 46.7％ in the NGT group (P ＜ 0.01).And 10.4％ of the patients in the ileus tube group and 53.3％ of the NGT group underwent surgery.For recurrent adhesive bowel obstruction,ileus tube was also significantly more effective than NGT (95.8％ vs 31.6％).In the ileus tube group,the drainage output on the first day and the length of hospital stay were significantly different depending on the treatment success or failure (P ＜ 0.05).The abdominal radiographic improvement was correlated with whether or not the patient underwent surgery.CONCLUSION:Ileus tube can be used for adhesive small bowel obstruction.Endoscopic placement of the ileus tube is convenient and worthy to be promoted despite the potential risks.

AdhesiveSmall bowel obstructionIleus tubeNasogastric intubationGastrointestinal decompression

Xiao-Li Chen、Fena Ji、Qi Lin、Yi-Peng Chen、Jian-Jiang Lin、Feng Ye、Ji-Ren Yu、Yi-Jun Wu

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Department of Gastroenterology, The First Affiliated Hospital,College of Medicine, Zhejiang University, Hangzhou 310003,Zhejiang Province, China

Department of Gastroenterology, Ningbo Branch Hospital of the First Affiliated Hospital, College of Medicine, Zhejiang University, Ningbo 315100, Zhejiang Province, China

Department of Colon and Rectal Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, Zhejang Province, China

2012

10.3748/wjg.v18.i16.1968

世界胃肠病学杂志(英文版)
太原消化病研治中心

世界胃肠病学杂志(英文版)

SCI
影响因子：1.001
ISSN：1007-9327
年,卷(期)：2012.18(16)
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