The efficacy of adhesive small bowel obstruction treated with blind insertion of nasal intestinal obstruction catheter combined with continuous enteral nutrition
10.3969/j.issn.1006-5725.2025.08.013
- VernacularTitle:床旁盲插经鼻型肠梗阻导管联合续贯肠内营养治疗粘连性小肠梗阻的疗效
- Author:
Yang HE
1
;
Zhibing HOU
1
;
Lie WANG
1
;
Jingxiang SONG
1
;
Yu WANG
1
Author Information
1. 中国人民解放军联勤保障部队第九〇〇医院(原南京军区福州总医院)胃肠外科病区(福建 福州 350000)
- Publication Type:Journal Article
- Keywords:
adhesive small bowel obstruction;
blind insertion;
intestinal obstruction catheter;
enteral nutrition
- From:
The Journal of Practical Medicine
2025;41(8):1175-1180
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the efficacy of treating adhesive small intestinal obstruction using blind insertion of a nasal ileus catheter in combination with continuous enteral nutrition.Methods The data of patients with adhesive small intestinal obstruction admitted to our department from January 2022 to December 2023 were retrospectively collected.Group A was treated with blind insertion of a nasal jejunal decompression catheter,whereas Group B was managed with a nasogastric tube.Continuous enteral nutrition was initiated after the resolu-tion of intestinal obstruction in both groups.The nutritional indices,abdominal improvement,inflammatory markers,and complication rates were compared between the two groups before and after treatment.Results In terms of nutritional indices,the scores for Alb,Pa,and NRS2002 in Group A were significantly higher than those in Group B on the 7th day(P<0.05).Regarding abdominal improvement indices,Group A demonstrated significantly better outcomes than Group B in daily average decompression drainage volume,daily average reduction in abdominal circumference,relief time for abdominal distension and pain,recovery time for exhaust,defecation,time to resump-tion of enteral nutrition,and total hospitalization duration(P<0.05).Concerning inflammatory indices,CRP,IL-6,and WBC levels in Group A were significantly lower than those in Group B on both the 4th and 7th days post-treatment(P<0.05).With regard to complications,Group A exhibited fewer cases of EN intolerance,reflux,and conversion due to conservative treatment ineffectiveness compared to Group B(P<0.05).Conversely,Group B had fewer instances of water and electrolyte imbalance compared to Group A(P<0.05).Conclusion Adhesive small intestinal obstruction treated with blind insertion of a nasal ileus catheter combined with continuous enteral nutrition is a safe and effective approach,making it worthy of promotion in clinical practice.
