Long intestinal tube insertion with the ropeway method facilitated by a guidewire placed by transnasal ultrathin endoscopy for bowel obstruction.
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.
Kanno
Yoshihide
Y
Department of Gastroenterology, Sendai City Medical Center, Miyagino-ku, Sendai, Japan. yoshi-hk@openhp.or.jp
Hirasawa
Dai
D
Fujita
Naotaka
N
Noda
Yutaka
Y
Kobayashi
Go
G
Ishida
Kazuhiko
K
Ito
Kei
K
Obana
Takashi
T
Suzuki
Takashi
T
Sugawara
Toshiki
T
Horaguchi
Jun
J
Takasawa
Osamu
O
Nakahara
Kazunari
K
Ohira
Tetsuya
T
Onochi
Kengo
K
Harada
Yoshihiro
Y
Iwai
Wataru
W
Kuroha
Masatake
M
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