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LONG INTESTINAL TUBE INSERTION WITH THE ROPEWAY METHOD FACILITATED BY A GUIDEWIRE PLACED BY TRANSNASAL ULTRATHIN ENDOSCOPY FOR BOWEL OBSTRUCTION
Author(s) -
Kanno Yoshihide,
Hirasawa Dai,
Fujita Naotaka,
Noda Yutaka,
Kobayashi Go,
Ishida Kazuhiko,
Ito Kei,
Obana Takashi,
Suzuki Takashi,
Sugawara Toshiki,
Horaguchi Jun,
Takasawa Osamu,
Nakahara Kazunari,
Ohira Tetsuya,
Onochi Kengo,
Harada Yoshihiro,
Iwai Wataru,
Kuroha Masatake
Publication year - 2009
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.1443-1661.2009.00886.x
Subject(s) - medicine , endoscopy , decompression , insertion time , surgery , intubation , bowel obstruction , tube (container) , mechanical engineering , airway , engineering
Aim: For patients with bowel obstruction, intestinal decompression by a long tube is recommended. We assessed the usefulness of a new technique for insertion of a long tube with a guidewire placed by transnasal ultrathin endoscopy. Methods: Nineteen patients who had been diagnosed as suffering from bowel obstruction underwent long‐tube insertion with the ropeway technique using a guidewire placed by transnasal endoscopy. Thirty‐three patients who had undergone conventional insertion of a long tube were included as controls. The success rate of intubation of the small bowel and the time required for the procedure were compared between the subjects and controls. Results: The success rate of intubation was 94.7% (18/19) in subjects and 84.8% (28/33) in controls ( P = 0.53). The time required for insertion in the subjects and controls was 24.1 ± 8.1 min and 48.7 ± 25.3 min, respectively, with a statistically significant difference ( P < 0.001). No complications relevant to the procedure were encountered in either of the groups. Conclusion: Long‐tube insertion facilitated by transnasal endoscopy reduces the time required for insertion in comparison with the conventional technique without endoscopy. Endoscopy‐assisted long‐tube insertion with the ropeway method is a safe and useful procedure for decompression in patients with bowel obstruction.