Value of intraluminal intestinal decompression by endoscopic placement of a Dennis tube in therapy of ileus. Retrospective clinical study of ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1997

AUTHORS

S Truong, S Willis, K P Riesener, M Seelig, A Bötjer, V Schumpelick

ABSTRACT

For determination of the efficacy of intraluminal bowel decompression by an endoscopically placed Dennis tube, 174 patients with paralytic ileus or different kinds of partial small bowel obstruction were reviewed retrospectively. There were 66 cases (37.9%) of early postoperative ileus (A), 27 (15.5%) of late postoperative ileus (B), 38 (21.8%) of paralytic ileus (C), 31 (17.8%) with obstruction due to advanced intraabdominal tumors (D), and 12 (6.8%) of obstructive ileus caused by inflammatory stenosis of the small bowel in Crohn's disease (E). Successful endoscopic placement of the intestinal tube was achieved in 97.2% of patients. Placement of the tube was impossible in 5 cases. A total of 95 patients (54.6%) were successfully managed by long intestinal tube decompression. Success rates for the individual groups were 71.2% (A), 18.5% (B), 86.8% (C), 16.1% (D), and 41.7% (E). Some 75 patients (43.1%) had to be operated on because of insufficient conservative therapy. Four patients with advanced intraabdominal tumors died during the treatment with the intestinal tube; 13 patients died postoperatively. There was no tube-related mortality, but tube-related complications occurred in 6.9%. We conclude that intraluminal intestinal tube decompression after endoscopic placement provides a therapeutic tool with a concomitant low complication and high success rate in paralytic and early postoperative ileus. More... »

PAGES

216-21

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s004230050056

DOI

http://dx.doi.org/10.1007/s004230050056

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1054515952

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/9445968


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