PMID: 9445968Jan 1, 1997Paper

Value of intraluminal intestinal decompression by endoscopic placement of a Dennis tube in therapy of ileus. Retrospective clinical study of 174 patients

Langenbecks Archiv für Chirurgie
S TruongV 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 ...Continue Reading

References

Sep 1, 1976·American Journal of Surgery·A H ShatilaW R Webb
May 30, 1975·Deutsche medizinische Wochenschrift·M DoehnH Wekling
Jan 1, 1988·Langenbecks Archiv für Chirurgie·L StilianuG Stilianu
Aug 1, 1987·Annals of Surgery·R E BrolinB A Mast
Jan 1, 1980·Annals of Surgery·J C QuatromoniA E Yellin
Oct 1, 1995·American Journal of Surgery·P R FleshnerA H Aufses

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