DSA-guided transnasal ileus tube implantation for treatment of refractory adhesive ileus
10.13929/j.issn.1672-8475.2020.02.004
- Author:
Xiangjun HUANG
1
Author Information
1. Department of Gastrointestinal Surgery, The First Hospital of Hunan University of Chinese Medicine
- Publication Type:Journal Article
- Keywords:
Angiography, digital subtraction;
Interventional therapy;
Intestinal obstruction
- From:
Chinese Journal of Interventional Imaging and Therapy
2020;17(2):80-83
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To investigate the effect of DSA-guided transnasal ileus tube implantation for treatment of refractory adhesive ileus. Methods Totally 50 patients with refractory adhesive ileus were treated with transnasal ileus tube implantation under the guidance of DSA. The time of intubation, time of relieving abdominal pain and distention, the flow of negative pressure, the time of anal exhaust and defecation were counted. The length of tube entry was counted on the 3rd and 6th day after operation, and the position of tube head was observed with abdominal X-ray films. Results All 50 patients were successfully catheterized in one time, the average catheterization time was (22.57±6.93)min.The patients were well tolerated, no gastrointestinal bleeding nor perforation occurred. Forty-five patients (45/50, 90%) were relieved of abdominal pain and distention, and the average time was (9.64±8.33)h. The negative pressure drainage volume was (1 500±450)ml on the first day, (750±120)ml on the second day and (257±112)ml on the third day. On the third day after operation, the average length of the tube was (195.97±14.63)cm, and abdominal X-ray films showed that the head of the tube located in the distal jejunum (Group 3). On the sixth day after operation, the average length of the tube was (240.55±17.65)cm, and the head of the tube located in the distal ileum. The average time of anal exhaust was (2.80±1.01)d, and of defecation was (3.52±1.26)d. Conclusion: DSA-guided transnasal ileus tube implantation is effective for treatment of refractory adhesive ileus, which can significantly relieve clinical symptoms and restore the physiological function of intestinal tract.
