Experience with Intestinal Plication and a Proposed Modification

Childs, W. A.; Phillips, Robert

doi:10.1097/00000658-196008000-00007

Cited by 77 publications

(24 citation statements)

References 3 publications

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“…Noble's suture plication of the small intestine was one such method, while transmesenteric plication, in which the mesentery, rather than the bowel, was plicated to ensure favourable lie, was another; both techniques are not popular due to their associated morbidity. [6][7][8][9] The alternative strategy involved the use of drugs or chemicals to prevent adhesions, of which steroids, streptokinase and dextran are noteworthy for their popularity (if not their efficacy). [10][11][12] More recently, hyaluronate preparations have become popular although their success remains debatable.…”

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Long-Term Follow-Up of the Use of the Jones' Intestinal Tube in Adhesive Small Bowel Obstruction

Fazel

Jamieson

2009

annals

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INTRODUCTION Intestinal intubation with a Jones' tube has been suggested to reduce the incidence of recurrent adhesive bstruction. This paper describes our experience of this technique. PATIENTS AND METHODS A retrospective case-note review was performed on 68 patients admitted to a teaching hospital who re identified as having had the Jones' intestinal tube placed over an 11-year period from 1980 to 1991, with a follow-up to 2003. The indication for placement and outcome following placement of the tube were documented with particular reference to recurrence of adhesive small bowel obstruction. RESULTS Data on 63 patients were available. Of these, 7 had the Jones' tube placed prophylactically after pouch surgery and re thus excluded from the main study. Of the remaining 56 patients, all had the Jones' tube placed for recurrent adhesive small bowel obstruction with a median follow-up of 92 months, representing 353 patient-years. In 51 patients, the Jones' tube was placed during emergency surgery, while five others had it placed electively. A total of 1.7 cases of adhesive small bowel obstruction per 100 years of patient follow-up were identified following use of the Jones' tube compared to 12.9 cases per 100 patient-years prior to the use of the Jones' tube. CONCLUSION Intestinal intubation with a Jones' tube is a safe and effective method of preventing recurrent adhesive obstruction.

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confidence: 99%

Long-Term Follow-Up of the Use of the Jones' Intestinal Tube in Adhesive Small Bowel Obstruction

Fazel

Jamieson

2009

annals

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“…Mit einem postoperativen Ileus muß bei etwa einer von 100 Laparotomien gerechnet werden [28]. Zur Prophylaxe und Therapie eines Adhä sionsund Bridenileus wurde eine ganze Reihe von Methoden (Miller-Abbott-Sonde, Baker-Sonde, Noble-Operation) entwickelt und propagiert, von denen die meisten nur noch historische Bedeutung besitzen [2,9,10,24,26]. Die Methode nach Childs-Phillips basiert auf der Grundidee von Noble; durch operative Maßnahmen soll eine gerichtete Adhä sionsbildung erreicht und damit der Abknickung der Darmschlingen mit erneutem Ileuszustand vorgebeugt werden [9,26].…”

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“…Die Indikation zu einer Mesenterialplikatur nach Childs-Phillips stellen wir ü bereinstimmend mit anderen Autoren [17,22] 15,9).…”

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Spätresultate der Mesenterialplikatur nach Childs-Phillips zur Therapie und Prophylaxe des Dünndarmileus

Sclabas

Heller

Ludin

et al. 1997

Chirurg

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During the past 7 years 45 patients have been operated upon using the Childs-Phillips method. Of those, 37 were subsequently examined for the study--7 patients had died in the meantime. None of the deaths occurred as a direct result of transmesenteric small-bowel plication. An early recurrence of intestinal obstruction occurred in 4.4% and a laparotomy was repeated. During the most recent examinations 86.5% of those patients checked had (virtually) no complaints--91.9% based upon the Visick classification. A subtotal intestinal obstruction occurred during the period of the study in 8.1% of cases, but could be conservatively treated. Up until the most recent examination there were still no instances of a late recurrence. Most intestinal obstruction recurrences are due to errors specific to the technique and are early recurrences. On the basis of our results, we are of the opinion that plication in the presence of existing peritonitis, as well as partial plication, is acceptable.

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“…Entsprechend der dargelegten pathophysiologischen Grundlagen besteht bei bereits eingetretener Ileuskrankheit wie beim Bestehen eines Strangulationsileus eine Notfallindikation zur Operation[2]. Bei bestehendem kompletten mechanischen Ileus und bei Bestehen eines hohen Dünndarmileus muss die Operation ebenfalls dringend erfolgen.…”

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Plusczyk

Bolli

Schilling

2006

Chirurg

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Intestinal obstruction may be mechanical or non-mechanical (adynamic ileus). Adhesions and external hernias are the most common causes of obstruction in small intestine, whereas carcinoma, sigmoid diverticulitis, and volvulus are the most common causes in large intestine obstruction. Distension of the intestine caused by gas and fluid accumulation in the obstructed segment is the key pathophysiological mechanism initiating ileus with subsequent multiorgan failure and death. Surgery should always be undertaken if complete obstruction or strangulation is suggested and ileus is established. Before operation, the fluid and electrolyte balance should be restored and decompression instituted by means of a nasogastric tube. Delaying the operation because of improvement in patient well-being during resuscitation is only justified in those suffering from large intestine obstruction due to colorectal carcinoma. Purely nonoperative treatment is safe only in the presence of incomplete obstruction and best utilized in patients with postoperative adynamic ileus or repeated episodes of partial obstruction.

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Experience with Intestinal Plication and a Proposed Modification

Cited by 77 publications

References 3 publications

Long-Term Follow-Up of the Use of the Jones' Intestinal Tube in Adhesive Small Bowel Obstruction

Long-Term Follow-Up of the Use of the Jones' Intestinal Tube in Adhesive Small Bowel Obstruction

Spätresultate der Mesenterialplikatur nach Childs-Phillips zur Therapie und Prophylaxe des Dünndarmileus

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