title: Decompression of the small bowel by endoscopic long-tube placement.
abstract: OBJECTIVE
  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).
  
  
  CONCLUSIONS
  For patients with adhesive small bowel obstruction, long-tube decompression is recommended and long-tube insertion by endoscopy was superior to fluoroscopic placement.
authors.affiliation: Department of Gastroenterological Endoscopy, the First Affiliated Hospital of Dalian Medical University, Dalian 116001, Liaoning Province, China. gsb@dl.cn
authors.forename: Shi-Bin
authors.initials: SB
authors.lastname: Guo
authors.forename: Zhi-Jun
authors.initials: ZJ
authors.lastname: Duan
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019299:Decompression, Surgical / Q000379:methods*; D016099:Endoscopy, Gastrointestinal; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D007415:Intestinal Obstruction / Q000601:surgery*; D007421:Intestine, Small / Q000601:surgery*; D008297:Male; D008875:Middle Aged