Advances in clinical application of obstruction catheter in prevention and treatment of intestinal obstruction.
10.3760/cma.j.cn.441530-20200305-00120
- Author:
Jun Hao FU
1
;
Ning ZHAO
1
;
Bo LIU
1
;
Xue Dong FANG
1
;
Tong CHEN
1
;
Meng ZHANG
1
;
Zhuo LIU
1
Author Information
1. Department of Gastrointestinal Colorectal and Anal Surgery, China-Japan Union Hospital, Jilin University, Changchun 130033, China.
- Publication Type:Journal Article
- Keywords:
Complication;
Ileus;
Ileus tube;
Prevention;
Treatment
- MeSH:
Catheters;
Digestive System Surgical Procedures;
Humans;
Intestinal Obstruction/surgery*;
Intestine, Small;
Tissue Adhesions
- From:
Chinese Journal of Gastrointestinal Surgery
2021;24(10):931-935
- CountryChina
- Language:Chinese
-
Abstract:
Intestinal obstruction is one of the most common diseases in abdominal surgery, and its prevention and treatment is a clinical difficulty. Although surgical operation can solve the symptoms of obstruction, there are many postoperative complications, and it is easy to develop re-obstruction due to postoperative abdominal adhesion. The internal fixation of small intestine with obstruction catheter provides a new idea for the prevention of postoperative adhesive bowel obstruction. The use of transanal ileus catheter provides the possibility of direct intestinal anastomosis after resection of malignant obstruction in the left hemicolon and can reduce the incidence of postoperative complications. However, sufficient attention should be paid to the related complications, and prevention and treatment should be planned. It is important to note that the use of obstruction catheter is only one of the conservative treatments for bowel obstruction, and it is not a complete replacement of surgery. Surgical treatment should still be considered, if the catheter fails to significantly move, if the obstructive symptoms do not significantly improve 5 days after catheterization.
