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

Lai, Haiyang; Wu, Ke; Yang, Linhua; Zeng, Zhaofei; Zhang, Bo

doi:10.3892/ol.2019.10151

Cited by 5 publications

(3 citation statements)

References 25 publications

(32 reference statements)

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“…Drainage decompression is more common in the single application of nasoileus catheter or transanal ileus catheter, especially for the relief of abdominal distension and abdominal pain and other related clinical symptoms. Lai et al reported that fluoroscopy-guided placement of long intestinal canal in the treatment of severe malignant intestinal obstruction, and the symptom relief rate of abdominal pain and vomiting are very high, and the incidence of serious complications is very low (18); however, it is difficult to achieve rapid improvement of symptoms for complex malignant intestinal obstruction through a separate drainage approach.…”

Section: Discussionmentioning

confidence: 99%

Transanal ileus catheter combined with nasal ileus catheter in the treatment of malignant ileus in 14 cases: a case series and literature review

Yang¹,

Shi²,

Li³

et al. 2022

Ann Palliat Med

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Background: Malignant intestinal obstruction refers to intestinal obstruction caused by advanced primary tumors or secondary metastatic malignant tumors. Because surgical treatment cannot significantly improve the life cycle, non-surgical treatment is mostly used to improve the symptoms of intestinal obstruction; transanal intestinal obstruction catheter and transnasal intestinal obstruction catheter are palliative therapies for decompression and drainage. Transanal intestinal obstruction catheter is mostly used for rectal and left colon obstruction. Transnasal intestinal obstruction catheter is mostly used for small intestinal obstruction.The two catheters are generally used alone according to the site of obstruction and clinical manifestations, and there are few reports on the combined use of the two catheters. We try to use the two catheters to treat patients with complex conditions and explore a better treatment strategy for malignant intestinal obstruction.

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Section: Discussionmentioning

confidence: 99%

Transanal ileus catheter combined with nasal ileus catheter in the treatment of malignant ileus in 14 cases: a case series and literature review

Yang¹,

Shi²,

Li³

et al. 2022

Ann Palliat Med

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“…In our patients, we inserted the nasointestinal tube with continuous negative pressure suction, without placement of a mental stent, which also achieved a satisfactory outcome. Zhang et al [ 27 ] analyzed 74 patients with malignant bowel obstruction treated with the fluoroscopy-guided long intestinal tube placement and showed that the symptoms of 58 patients improved significantly. At 1-mo follow-up, the symptoms of obstruction did not deteriorate.…”

Section: Discussionmentioning

confidence: 99%

Treatment of afferent loop syndrome using fluoroscopic-guided nasointestinal tube placement: Two case reports

Hu¹,

Ma²,

Zhen-min³

et al. 2020

WJCC

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BACKGROUND Afferent loop syndrome (ALS) is a rare mechanical complication that occurs after reconstruction of the stomach or esophagus to the jejunum, such as Billroth II gastrojejunostomy, Roux-en-Y gastrojejunostomy, or Roux-en-Y esophagoje-junostomy. Traditionally, an operation is the first choice for benign causes. However, for patients in poor physical condition who experience ALS soon after R0 resection, the type of treatment remains controversial. Here, we present an efficient conservative method to treat ALS. CASE SUMMARY Case 1 was a 69-year-old male patient who underwent total gastrectomy with Roux-en-Y jejunojejunostomy. On postoperative day (POD) 10 he developed symptoms of ALS that persisted and increased over 1 wk. Case 2 was a 59-year-old male patient who underwent distal gastrectomy with Billroth II gastrojejunostomy. On postoperative day POD 9 he developed symptoms of ALS that persisted for 2 wk. Both patients underwent fluoroscopic-guided nasointestinal tube placement with maintenance of continuous negative pressure suction. Approximately 20 d after the procedure, both patients had recovered well and were discharged from hospital after removal of the tube. At 3-mo follow-up, there were no signs of ALS in these two patients. CONCLUSION This is the first report of treating postoperative ALS by fluoroscopic-guided nasointestinal tube placement. Our cases demonstrate that this procedure is an effective and safe method to treat ALS that relieves patients’ symptoms and avoids complications caused by other invasive procedures.

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“…Long intestinal tube (LIT) decompression is a useful treatment for patients with bowel obstruction, achieved by draining the intestinal contents [1,2]. While gastrointestinal bleeding, perforation, laryngeal injury, and aspiration pneumonia are well-known complications of LIT insertion, submucosal tunnel formation is a very rare complication [3][4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Submucosal Tunnel Formation as a Complication Caused by Long Intestinal Tube Insertion: A Case Report

Chatani

Inaba

Murata

et al. 2020

Interventional Radiology

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We present a case of a 76-year-old man with submucosal tunnel formation caused by long intestinal tube (LIT) insertion. The patient had undergone an LIT insertion to treat bowel obstruction caused by ascending colon cancer. Although intestinal decompression was achieved successfully, a procedural pre-scheduled endoscopy incidentally revealed that the LIT had penetrated the abdominal esophageal mucosa and re-entered the gastric lumen, passing through the submucosal layer at the gastroesophageal junction. Therefore, the LIT was removed under endoscopic observation during ileocecal resection surgery and the patient was treated conservatively. The current case suggests that this unfamiliar complication can occur without any signs or symptoms.

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

Cited by 5 publications

References 25 publications

Transanal ileus catheter combined with nasal ileus catheter in the treatment of malignant ileus in 14 cases: a case series and literature review

Transanal ileus catheter combined with nasal ileus catheter in the treatment of malignant ileus in 14 cases: a case series and literature review

Treatment of afferent loop syndrome using fluoroscopic-guided nasointestinal tube placement: Two case reports

Submucosal Tunnel Formation as a Complication Caused by Long Intestinal Tube Insertion: A Case Report

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