Long tube decompression is successful in 90% of patients with adhesive small bowel obstruction

Conservative Management of Adhesive Small Bowel Obstructions in Patients Previously Operated on for Primary Colorectal Cancer

“…We used fluoroscopic guides in all 78 cases of LIT usage, to advance the LITs through the pylorus, and, in 60/78 cases (76.9%), the LIT passed into the small bowel at first attempt, with a trial time of 10-20 min. An alternative method used to advance LIT into the small bowel is gastrointestinal endosocpy, 28 and Gowen et al 29 reported a good success rate of 90% using an improved tube designed for endoscopic placement.…”

Transnasal Fine Gastrointestinal Fiberscope-guided Long Tube Insertion for Patients with Small Bowel Obstruction

“…This success rate was almost the same as our previous data (data not shown) and almost the same result of a recent report. 3 On the other hand, there were no failure cases in group 2 (P=0.6689). There were two patients who underwent operation for SBO in the both groups.…”

“…1,2 When patients are clinically diagnosed as having SBO, in most cases, long tube insertion (LTI) is first attempted to relieve the intraluminal pressure of the bowel, instead of emergency laparotomy. 3,4 Although LTI, instead of nasogastric tube (NG tube, short tube) insertion, is still a controversial method for treatment of patients with SBO, 5-7 recent reports revealed that LTI is recommended for treatment of SBO. [7][8][9][10][11] Moreover, a prospective randomized study comparing long tube decompression with short tube suction demonstrated that the long tube results were successful in 18 of 24 patients (75%) versus 16 of 31 patients (51%) for short tube suction for resolution of SBO.…”

Outcome of decompression using a transnasal ileus tube in malignant adhesive bowel obstruction: A retrospective study

“…In 2003, a new transnasal ileus tube was developed and used in clinical practice. Compared with a nasogastric tube, the long tube demonstrated excellent decompression efficacy: It was successful in 70-90% of patients with a benign adhesive small bowel obstruction (8)(9)(10)(11), and has been recommended as a first-line therapeutic strategy. However, there are no studies on the efficacy of decompression by transnasal ileus tube for malignant adhesive bowel obstruction, and no studies comparing the outcome of ileus tube decompression between malignant and benign adhesive bowel obstruction patients have been reported to date.…”