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Improvement of the Guide Wire in the Long Intestinal Tube Used for Endoscopic Intubation in Patients with Intestinal Obstruction
Author(s) -
KAWAMURA Ryoki,
AKIYAMA Yasuhiro,
NAMIKAWA Kazuo
Publication year - 1997
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.1997.tb00491.x
Subject(s) - medicine , intubation , ileus , tube (container) , surgery , anesthesia , materials science , composite material
In 1980, an endoscopic intubation method utilizing a long intestinal tube for ileus was developed. However, with this method the success rate of jejunal intubation was 89.4%, and the intubation time was 17.5±8.1 minutes (Mean±S. D.). These results were unsatisfactory as “rapid and reliable intubation” was the initial objective. Because the earliest guide wire was excessively elastic and therefore pliable, it formed a loop in the stomach. The guide wire was then improved by increasing its rigidity by approximately 20%. With this improvement, the force needed to advance the guide wire can now be effectively transmitted to its tip. As a result, the initial objective of improving the rate of jejunal intubation with the long tube (to 100%) and shortening the intubation time (to 8.9±3.9 min.) was achieved.