Clinical application of transanal ileal tube placement using X-ray monitoring

Abstract

Colorectal cancer, which includes colon and rectal cancer, is a common digestive tract tumor. Although surgery is the primary form of treatment, there are a number of drawbacks, including patients experiencing considerable pain and high cost. The present study was undertaken to examine the clinical value of transanal ileal tube placement under X-ray monitoring. Thirty-six cases of left colon obstruction presenting to our hospital between July 2011 and February 2014, underwent transanal ileal tube placement using a single-curve catheter guided by a guidewire under X-ray monitoring. An ileal tube was successfully inserted into 32 patients. Clinical symptoms were alleviated effectively within 48 h. Indwelling catheter decompression time was 4–9 days with an average of 5.61 days. In two cases, the colon guidewire perforated into the abdominal cavity. Repeated exploration resistance of the guidewire and catheter indicated stenosis at this position owing to obstruction. In conclusion, transanal placement of the ileal tube through X-ray monitoring is capable of effectively alleviating the symptoms of ileus. Thus, this constitutes a safe, effective, and economical method that is acceptable to patients.

Fluoroscopy‑guided long intestinal tube placement for the treatment of malignant bowel obstruction

“…The occurrence of MBO results in a series of pathological and physiological changes, including bowel ischaemia and anoxia, oedema of the intestinal dissepiments, and bacterial translocation and infection, which aggravate the increase in vascular permeability and destroy the liquid secretion absorption equilibrium in the intestinal canal, ultimately resulting in intestinal wall necrosis, perforation, haemorrhage, infection and septic shock (2)(3)(4)(5)14,15). Therefore, it is essential to reduce the pressure of the intestinal cavity and drain intestinal contents effectively, as well as to improve the blood supply of the intestinal wall in a timely manner.…”

Combination of transnasal ileus tube and local small intestine artery perfusion chemotherapy for late malignant small bowel obstruction

“…Moreover, the considerable recurrence rate subsequent to bowel obstruction surgery further constrains its applicability [9][10][11] . Recently, there is substantial evidence suggesting that bowel rest and effective decompression play an important role in the treatment of intestinal obstruction [12] , particularly nasointestinal long tube treatment for benign adhesive small bowel obstructions [13] . In 2003, a new transnasal ileus tube was developed and used in clinical practice.…”

Transanal decompression tube is superior to self‐expandable metallic colonic stent for malignant colorectal obstruction: a retrospective study

“…[7][8][9][10] There is substantial evidence suggesting that bowel rest and effective decompression play an important role in the treatment of bowel obstruction. 11 To improve patient's prognosis and quality of life, nonsurgical treatments to alleviate colorectal malignant obstruction have been developed in recent years, including decompression with SEMS 12 and the application of TDT. 13 In 2003, TDT was developed and introduced into clinical practice.…”

“…As a result, emergency surgery for obstructive colorectal cancer is considered high‐risk, while surgery after decompression is considered to be relatively safer 7–10 . There is substantial evidence suggesting that bowel rest and effective decompression play an important role in the treatment of bowel obstruction 11 …”