AIM:To investigate and compare the decompression effect on small bowel obstruction of a long tube inserted using either endoscopic or fluoroscopic placement.METHODS:Seventy-eight patients with small bowel obstruction ...AIM:To investigate and compare the decompression effect on small bowel obstruction of a long tube inserted using either endoscopic or fluoroscopic placement.METHODS:Seventy-eight patients with small bowel obstruction requiring decompression were enrolled in the study and divided into two groups.Intubation of a long tube was guided by fluoroscopy in one group and by endoscopy in the other.The duration of the procedure and the success rate for each group were evaluated.RESULTS:A statistically significant difference in the mean duration of the procedure was found between the fluoroscopic group(32.6±14.6 min)and the endoscopic group(16.5±7.8 min)among the cases classified as successful(P<0.05).The success rate was significantly different between the groups:88.6%in the fluoroscopic group and 100%in the endoscopic group(P <0.05).CONCLUSION:For patients with adhesive small bowel obstruction,long-tube decompression is recommended and long-tube insertion by endoscopy was superior to fluoroscopic placement.展开更多
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 Sept...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.展开更多
A female patient was of the pregnancy for less than 24 weeks and suffered from adhesive ileus. The conservative treatment with acupuncture was selected to keep the fetus alive. A single-used filiform needle,0.30 mm x ...A female patient was of the pregnancy for less than 24 weeks and suffered from adhesive ileus. The conservative treatment with acupuncture was selected to keep the fetus alive. A single-used filiform needle,0.30 mm x 40 mm was used. Zúsānlǐ(足三里ST 36), Shàngjùxū(上巨虚 ST 37), Tàichōng(太冲 LR 3) and Zhigōu(支沟TE 6) were selected bilaterally. At each acupoint, the needle was inserted rapidly and manipulated with the twisting, lifting and thrusting techniques to induce mild stimulation. Additionally, the electric stimulation was added at ST 36 and ST 37, with the continuous wave, 60 times per minute in frequency. The needles were retained for 25 min in each treatment. During the hospital stay, the treatment was given once every day and the condition of the disorder was observed carefully. The patient was discharged from the hospital in her 30 weeks of pregnancy. Afterward, acupuncture treatment was given once every one or two days in clinic till the weeks 34 of pregnancy. After acupuncture treatment,the conditions of abdominal distention, enteric flatus and defecation were relieved sustainably through to the cesarean section in weeks 34 of pregnancy. Both the patient and her infant were healthy when discharged. It was proved that acupuncture therapy was applicable and effective in the pregnant patient with ileus.展开更多
文摘AIM:To investigate and compare the decompression effect on small bowel obstruction of a long tube inserted using either endoscopic or fluoroscopic placement.METHODS:Seventy-eight patients with small bowel obstruction requiring decompression were enrolled in the study and divided into two groups.Intubation of a long tube was guided by fluoroscopy in one group and by endoscopy in the other.The duration of the procedure and the success rate for each group were evaluated.RESULTS:A statistically significant difference in the mean duration of the procedure was found between the fluoroscopic group(32.6±14.6 min)and the endoscopic group(16.5±7.8 min)among the cases classified as successful(P<0.05).The success rate was significantly different between the groups:88.6%in the fluoroscopic group and 100%in the endoscopic group(P <0.05).CONCLUSION:For patients with adhesive small bowel obstruction,long-tube decompression is recommended and long-tube insertion by endoscopy was superior to fluoroscopic placement.
文摘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.
文摘A female patient was of the pregnancy for less than 24 weeks and suffered from adhesive ileus. The conservative treatment with acupuncture was selected to keep the fetus alive. A single-used filiform needle,0.30 mm x 40 mm was used. Zúsānlǐ(足三里ST 36), Shàngjùxū(上巨虚 ST 37), Tàichōng(太冲 LR 3) and Zhigōu(支沟TE 6) were selected bilaterally. At each acupoint, the needle was inserted rapidly and manipulated with the twisting, lifting and thrusting techniques to induce mild stimulation. Additionally, the electric stimulation was added at ST 36 and ST 37, with the continuous wave, 60 times per minute in frequency. The needles were retained for 25 min in each treatment. During the hospital stay, the treatment was given once every day and the condition of the disorder was observed carefully. The patient was discharged from the hospital in her 30 weeks of pregnancy. Afterward, acupuncture treatment was given once every one or two days in clinic till the weeks 34 of pregnancy. After acupuncture treatment,the conditions of abdominal distention, enteric flatus and defecation were relieved sustainably through to the cesarean section in weeks 34 of pregnancy. Both the patient and her infant were healthy when discharged. It was proved that acupuncture therapy was applicable and effective in the pregnant patient with ileus.
