Recurrent Intestinal Obstruction

Heydinger, David K.

doi:10.1001/archsurg.1960.01290210138028

Cited by 15 publications

(3 citation statements)

References 5 publications

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“…In addition there is no requirement for a jejunostomy, gastrostomy or prolonged nasogastric intubation. Animal studies indicate that adequate adhesions form between loops of small intestine in 10 days 13 . We routinely remove the indwelling urinary catheters at day 10.…”

Section: Discussionmentioning

confidence: 99%

Sutureless intestinal plication

Wong

King

2004

ANZ Journal of Surgery

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Section: Discussionmentioning

confidence: 99%

Sutureless intestinal plication

Wong

King

2004

ANZ Journal of Surgery

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“…It is hazardous to analyze, or tabulate, previous reports of long-term outcome following use of the long intestinal tube, as these studies vary markedly in the indications for placement of the tubes, patient populations, adequacy and length of follow-up, and whether cases of small bowel obstruction managed nonoperatively are included as recurrences. Nevertheless, it is worth noting that the stated rate of recurrent small bowel obstruction in previous series has been below 9% [6,11,13,16,19,20,22,[27][28][29]. The length of follow-up has been short, generally less than 4 years.…”

Section: Discussionmentioning

confidence: 99%

Twelve‐year experience with the long intestinal tube

1995

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A number of surgical methods, including use of the long intestinal tube, have been designed to decrease the incidence of recurrent small bowel obstruction. The aim of the present study was to review the indications, morbidity, and long-term results of the long intestinal tube at the Mayo Clinic. During the 12-year period 1981-1992, 47 patients had such tubes placed. The patients formed a complex surgical group: 46 patients had previously undergone at least one laparotomy (median 4, range 1-10); 41 patients had been hospitalized at least once for small bowel obstruction (median 3, range 1-15); and all 41 of these patients had undergone at least one previous laparotomy for obstruction (median 2, range 1-7). Eleven patients had a history of inflammatory bowel disease, and eight had a history of irradiation. In addition to dense adhesions in 46 patients, operative findings included large bowel tumors in six patients, intraperitoneal carcinomatosis in four, intraabdominal abscess in four, and small bowel stricture in three. Twenty patients required either a small bowel or large bowel resection, and three had a stoma fashioned. Only one case of morbidity (tube retraction) was related to tube placement. Among the 36 patients with complete follow-up, nine patients developed episodes of recurrent adhesional small bowel obstruction after a mean follow-up of 48 months, although only one required laparotomy. Of the remaining 11 patients it is known that two developed small bowel obstruction, one of whom required laparotomy.(ABSTRACT TRUNCATED AT 250 WORDS)

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“…Experimental studies have shown that intraluminal tubes should be left in place for at least 10 days to allow the adhesions to mature sufficiently to maintain the plication. 50 A new, modified catheter has been described by Gowen (Gowen decompression tube) and commercially produced by Cook Surgical (Bloomington, IN). 51 The tube is 18 French in size, has a removable stiff stylet, is balloon tipped, and has a small distal opening to which a suture can be attached to assist in endoscopic placement.…”

Section: Intraluminal Plicationmentioning

confidence: 99%

Small Bowel Obstruction and Adhesions

2003

Clinics in Colon and Rectal Surgery

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Small bowel obstruction (SBO) remains a major surgical condition, and its management consumes a significant portion of our health care efforts. Adhesions are the most common cause of SBO in developed societies. Most small bowel obstructions can be managed with nonoperative means such as bowel rest and intravenous hydration. Operative treatment is indicated to relieve obstructions that fail to resolve with conservative measures, and involves lysis of adhesions or resections. New methods to prevent obstruction are under development.Objectives: Upon completion of this article, the reader should be able to understand intrabdominal adhesions and the management and prevention of small bowel obstruction.

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Recurrent Intestinal Obstruction

Cited by 15 publications

References 5 publications

Sutureless intestinal plication

Sutureless intestinal plication

Twelve‐year experience with the long intestinal tube

Small Bowel Obstruction and Adhesions

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