Usefulness of Dennis Colorectal Tube in endoscopic decompression of acute, malignant colonic obstruction☆

Endoscopic decompression using a transanal drainage tube for acute obstruction of the rectum and left colon as a bridge to curative surgery

“…It has been used as a preoperative procedure for single-stage surgery because it can decompress as well as clean the dilated colon. The tubes being used, however, were not specifically designed for this purpose [12][13][14][15]. The main problem was the small luminal diameter of most tubes, which resulted in occlusion.…”

“…It is a costly and time-consuming procedure [2]. To reduce the cost and to improve patient care, various methods have been reported for single-stage operation, including intraoperative colonic lavage [3][4][5], decompression with a metallic stent [6][7][8] and decompression with a transanal drainage tube [12][13][14][15]. However, each of these methods still leaves unsolved problems with regard to cost, safety, and technical aspects, and at present, no satisfactory method has been established.…”

Endoscopic decompression of benign large bowel obstruction using a transanal drainage tube

“…The transanal drainage tube used was a single‐use Dennis ® Colorectal Tube (DCT), 7.3 mm (22 Fr) in outer diameter and 120 cm in length (Nippon Sherwood, Tokyo, Japan) [10,11]. A flexible tapered tip is attached to the distal end of the tube.…”

“…The techniques used for the management of acute colorectal obstruction were as previously reported [11–13]. Briefly, a colonoscope (CF‐230I, CF‐240I, PCF‐Q260AI; Olympus, Tokyo, Japan) was inserted and advanced to the site of the stricture.…”

“…Endoscopic decompression using a transanal drainage tube for management of acute colorectal obstruction [8–15] has also been used as a bridge to elective surgery. It has been suggested that use of endoscopic transanal drainage tubes may be safer and more cost‐effective than self‐expanding metal stents [13–15].…”