Immediate endoscopic placement of long intestinal tube in partial obstruction of the small intestine.
A technique that allows for endoscopic placement of a long intestinal tube with an inflatable balloon well beyond the pylorus is described. This procedure has been successful in 24 patients; is well tolerated; removes air and fluid from the stomach, duodenum and upper part of the jejunum, and can be performed in less than 45 minutes. It uses equipment that is standard in all hospitals and can be performed by anyone experienced in performing endoscopy of the upper part of the gastrointestinal tract. It is safe, easy to perform and improves the efficacy of long tube decompression and, therefore, can be recommended in properly selected patients, with partial obstruction of the small intestine.
Gowen
G F
GF
Department of Surgery, Pennsylvania Hospital, Philadelphia.
DeLaurentis
D A
DA
Stefan
M M
MM
D004724:Endoscopy / Q000379:methods*; D005069:Evaluation Studies as Topic; D006801:Humans; D007415:Intestinal Obstruction / Q000628:therapy*; D007421:Intestine, Small; D007441:Intubation, Gastrointestinal / Q000379:methods*; D013997:Time Factors