Percutaneous needle decompression in treatment of malignant small bowel obstruction.
OBJECTIVE
To investigate the efficacy and safety of percutaneous needle decompression in the treatment of malignant small bowel obstruction (MSBO).


METHODS
A prospective analysis of the clinical data of 52 MSBO patients undergoing percutaneous needle decompression was performed.


RESULTS
Percutaneous needle decompression was successful in all 52 patients. Statistically significant differences were observed in symptoms such as vomiting, abdominal distension and abdominal pain before and after treatment (81.6% vs 26.5%, 100% vs 8.2%, and 85.7% vs 46.9%, respectively; all P < 0.05). The overall significantly improved rate was 19.2% (11/52) and the response rate was 94.2% (49/52) using decompression combined with nasal tube placement, local arterial infusion of chemotherapy and nutritional support. During the one-month follow-up period, puncture-related complications were acceptable.


CONCLUSIONS
Percutaneous needle intestinal decompression is a safe and effective palliative treatment for MSBO.
Ting-Hui Jiang, Xian-Jun Sun, Shi-Ming Fang, Hao-Sheng Jiang, Yan Cao, Bing-Yan Liu, Shao-Qiu Wu, Ai-Wu Mao, Interventional Center, St. Luke's Hospital of Jiaotong University School of Medicine, Shanghai 200050, China.
Ting-Hui
TH
Jiang
Ting-Hui Jiang, Xian-Jun Sun, Shi-Ming Fang, Hao-Sheng Jiang, Yan Cao, Bing-Yan Liu, Shao-Qiu Wu, Ai-Wu Mao, Interventional Center, St. Luke's Hospital of Jiaotong University School of Medicine, Shanghai 200050, China.
Xian-Jun
XJ
Sun
Ting-Hui Jiang, Xian-Jun Sun, Shi-Ming Fang, Hao-Sheng Jiang, Yan Cao, Bing-Yan Liu, Shao-Qiu Wu, Ai-Wu Mao, Interventional Center, St. Luke's Hospital of Jiaotong University School of Medicine, Shanghai 200050, China.
Yue
Y
Chen
Ting-Hui Jiang, Xian-Jun Sun, Shi-Ming Fang, Hao-Sheng Jiang, Yan Cao, Bing-Yan Liu, Shao-Qiu Wu, Ai-Wu Mao, Interventional Center, St. Luke's Hospital of Jiaotong University School of Medicine, Shanghai 200050, China.
Hui-Qin
HQ
Cheng
Ting-Hui Jiang, Xian-Jun Sun, Shi-Ming Fang, Hao-Sheng Jiang, Yan Cao, Bing-Yan Liu, Shao-Qiu Wu, Ai-Wu Mao, Interventional Center, St. Luke's Hospital of Jiaotong University School of Medicine, Shanghai 200050, China.
Shi-Ming
SM
Fang
Ting-Hui Jiang, Xian-Jun Sun, Shi-Ming Fang, Hao-Sheng Jiang, Yan Cao, Bing-Yan Liu, Shao-Qiu Wu, Ai-Wu Mao, Interventional Center, St. Luke's Hospital of Jiaotong University School of Medicine, Shanghai 200050, China.
Hao-Sheng
HS
Jiang
Ting-Hui Jiang, Xian-Jun Sun, Shi-Ming Fang, Hao-Sheng Jiang, Yan Cao, Bing-Yan Liu, Shao-Qiu Wu, Ai-Wu Mao, Interventional Center, St. Luke's Hospital of Jiaotong University School of Medicine, Shanghai 200050, China.
Yan
Y
Cao
Ting-Hui Jiang, Xian-Jun Sun, Shi-Ming Fang, Hao-Sheng Jiang, Yan Cao, Bing-Yan Liu, Shao-Qiu Wu, Ai-Wu Mao, Interventional Center, St. Luke's Hospital of Jiaotong University School of Medicine, Shanghai 200050, China.
Bing-Yan
BY
Liu
Ting-Hui Jiang, Xian-Jun Sun, Shi-Ming Fang, Hao-Sheng Jiang, Yan Cao, Bing-Yan Liu, Shao-Qiu Wu, Ai-Wu Mao, Interventional Center, St. Luke's Hospital of Jiaotong University School of Medicine, Shanghai 200050, China.
Shao-Qiu
SQ
Wu
Ting-Hui Jiang, Xian-Jun Sun, Shi-Ming Fang, Hao-Sheng Jiang, Yan Cao, Bing-Yan Liu, Shao-Qiu Wu, Ai-Wu Mao, Interventional Center, St. Luke's Hospital of Jiaotong University School of Medicine, Shanghai 200050, China.
Ai-Wu
AW
Mao
D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003664:Decompression / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009339:Needles; D009369:Neoplasms / Q000150:complications*; D010166:Palliative Care; D011446:Prospective Studies; D011677:Punctures; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
Arterial infusion chemotherapy; Malignant small bowel obstruction; Nasal intestinal decompression tube; Palliative treatment; Percutaneous needle decompression