title: Sonographic detection of visceral adhesion in percutaneous drainage of afferent-loop small-intestine obstruction.
abstract: 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.
authors.affiliation: First Department of Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano 390-0802, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Kitamura
authors.forename: S
authors.initials: S
authors.lastname: Miwa
authors.forename: T
authors.initials: T
authors.lastname: Nakata
authors.forename: K
authors.initials: K
authors.lastname: Nomura
authors.forename: T
authors.initials: T
authors.lastname: Tanaka
authors.forename: T
authors.initials: T
authors.lastname: Ikegami
authors.forename: S
authors.initials: S
authors.lastname: Miyagawa
authors.forename: S
authors.initials: S
authors.lastname: Kawasaki
mesh_terms: D000343:Afferent Loop Syndrome / Q000000981:diagnostic imaging* / Q000601:surgery; D000368:Aged; D002404:Catheterization; D006801:Humans; D007579:Jejunal Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D008297:Male; D011859:Radiography; D013396:Suction / Q000379:methods*; D000267:Tissue Adhesions / Q000000981:diagnostic imaging; D014463:Ultrasonography