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Sonographic detection of visceral adhesion in percutaneous drainage of afferent‐loop small‐intestine obstruction
Author(s) -
Kitamura Hiroshi,
Miwa Shiro,
Nakata Takenari,
Nomura Kazuhiko,
Tanaka Toshiyuki,
Ikegami Toshihiko,
Miyagawa Shinichi,
Kawasaki Seiji
Publication year - 2000
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/(sici)1097-0096(200003/04)28:3<133::aid-jcu5>3.0.co;2-j
Subject(s) - medicine , percutaneous , small intestine , adhesion , radiology , drainage , ultrasonography , surgery , anatomy , biology , ecology , chemistry , organic chemistry
To facilitate the percutaneous drainage of an afferent‐loop small‐intestine obstruction, we used sonography to detect visceral adhesions and select a safe puncture route. The portion of the small intestine that was fixed to the anterior abdominal wall was sonographically identified by using a high‐frequency transducer to locate the area of restricted visceral sliding. The needle was then inserted into the intestine. In 3 cases, we have found that this technique improves the confidence of the physicians who perform the percutaneous drainage and may help to minimize the risks associated with the percutaneous drainage. © 2000 John Wiley & Sons, Inc. J Clin Ultrasound 28:133–136, 2000.