title: Long intestinal tube insertion with the ropeway method facilitated by a guidewire placed by transnasal ultrathin endoscopy for bowel obstruction.
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Gastroenterology, Sendai City Medical Center, Miyagino-ku, Sendai, Japan. yoshi-hk@openhp.or.jp
authors.forename: Yoshihide
authors.initials: Y
authors.lastname: Kanno
authors.forename: Dai
authors.initials: D
authors.lastname: Hirasawa
authors.forename: Naotaka
authors.initials: N
authors.lastname: Fujita
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Noda
authors.forename: Go
authors.initials: G
authors.lastname: Kobayashi
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Ishida
authors.forename: Kei
authors.initials: K
authors.lastname: Ito
authors.forename: Takashi
authors.initials: T
authors.lastname: Obana
authors.forename: Takashi
authors.initials: T
authors.lastname: Suzuki
authors.forename: Toshiki
authors.initials: T
authors.lastname: Sugawara
authors.forename: Jun
authors.initials: J
authors.lastname: Horaguchi
authors.forename: Osamu
authors.initials: O
authors.lastname: Takasawa
authors.forename: Kazunari
authors.initials: K
authors.lastname: Nakahara
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Ohira
authors.forename: Kengo
authors.initials: K
authors.lastname: Onochi
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Harada
authors.forename: Wataru
authors.initials: W
authors.lastname: Iwai
authors.forename: Masatake
authors.initials: M
authors.lastname: Kuroha
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D016145:Endoscopy, Digestive System; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000628:therapy*; D007441:Intubation, Gastrointestinal / Q000379:methods*; D008297:Male; D008875:Middle Aged