Application of superslim endoscope in treatment of colonic obstruction in left colorectal cancer
10.3760/cma.j.issn.1673-4904.2013.10.011
- VernacularTitle:超细内镜在左半结直肠癌性肠梗阻治疗中的应用研究
- Author:
Yihui SHEN
;
Lixian ZHANG
;
Lei SHI
;
Hongxia CHI
;
Huiqing HOU
;
Youhua YUAN
- Publication Type:Journal Article
- Keywords:
Intestinal obstruction;
Colonic neoplasms;
Superslim endoscopes;
Ileus depressed tube
- From:
Chinese Journal of Postgraduates of Medicine
2013;(10):31-34
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the application of transanal placement of ileus tube in treatment of colonic obstruction in left colorectal cancer.Methods Thirty-two patients with left malignant colorectal obstruction were divided into ordinary colonoscope group (16 cases) and superslim endoscope group (16 cases) by random digits table.The catheter success rate,catheter operating time and exposure to X-ray time was compared between two groups.Results Fifteen cases were successful and 1 case was failed in ordinary colonoscope group.Thirteen cases were successful and 3 cases were failed in superslim endoscope group.There was no significant difference in the catheter success rate between two groups (x2 =1.143,P =0.285).The catheter operating time was (42 + 15),(20 +6) min in ordinary colonoscope group and superslim endoscope group,and there was significant difference between two groups (t =3.895,P =0.005).The exposure to X-ray time was (20 + 12),(5 + 2) min,and there was significant difference between two groups (t =-3.596,P =0.007).Conclusion Transanal placement of ileus tube is more successful and convenient by superslim endoscope combined with anesthesia than by ordinary colonoscope.
