Adhesive small-bowel obstruction treatment using internal intestinal splinting with a nasointestinal ileus tube

• Published in: Minerva chirurgica Vol. 70; no. 5; p. 327
• Main Authors: Cui, H, Jiang, X, Li, H
• Format: Journal Article
• Language: English
• Published: Italy 01.10.2015
• Subjects: Adult; Aged; Female; Follow-Up Studies; Humans; Intestinal Obstruction - diagnostic imaging; Intestinal Obstruction - etiology; Intestinal Obstruction - therapy; Intubation, Gastrointestinal - instrumentation; Intubation, Gastrointestinal - methods; Male; Middle Aged; Nose; Radiology, Interventional; Recurrence; Retrospective Studies; Splints; Treatment Outcome
• ISSN: 1827-1626

The aim of this paper was to investigate the effect of non-surgical internal intestinal splinting using an ileus tube under X-ray guidance. Sixteen patients with recurrent postoperative adhesive small bowel obstruction (SBO) received internal splinting using intubation of a 300 cm long ileus tube. Under X-ray guidance, the tube was advanced through nose, 10 cm beyond the jejunal ligament of Treitz. The tube was advanced towards the end of ileum and propelled by peristalsis using a water-filled anterior balloon of the tube, which directly dilated narrowed intestines. The tube remained in the intestine for further support and splinting. All 16 patients achieved a resolution of the bowel obstruction without complications. During a follow-up of 8 months to 2 years, 1 patient had a recurrent obstruction 4 months post-procedure. The remaining patients did not experience obstruction recurrence. Non-surgical, internal intestinal splinting using a nasointestinal ileus tube under X-ray was simple, non-invasive, safe and effective treatment of recurrent adhesive SBO.