Int J Gastrointest Interv 2019; 8(1): 55-58  https://doi.org/10.18528/ijgii170020
Ileus tube placement combined with laparoscopy in the treatment of refractory small bowel obstruction: Case series and literature review
Wei-Hai Shi1, Hao-Qiang Chao2, Nian-Yuan Ye1, and Hong-Jian Shi2,*
1Department of General Surgery, The Affiliated Wujin Hospital, Jiangsu University, Changzhou, China
2Department of Radiology, The Affiliated Wujin Hospital, Jiangsu University, Changzhou, China
Department of Radiology, The Affiliated Wujin Hospital, Jiangsu University, 2 North Yongning Road, Changzhou 213017, China. E-mail address: shihongjian@sina.com (H.-J. Shi). ORCID: https://orcid.org/0000-0001-9616-3768
Received: October 23, 2017; Revised: March 18, 2018; Accepted: June 11, 2018; Published online: January 31, 2019.
© Society of Gastrointestinal Intervention. All rights reserved.

cc This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Post-surgery small bowel obstruction (SBO) has substantial morbidity and mortality. Even with refinement of surgical technique, SBO still remains challenging with the most common causes of acute hospital admission. Most SBOs can be managed with conservative treatment. However, the palliative methods may fail to relieve the symptoms in some clinical settings. Currently, laparotomy is the standard of care for difficult SBO. And laparoscopy offers an alternative approach for operative intervention in SBO and was first described by Bastug et al in 1991. Emerging literature demonstrated that laparoscopic surgery for SBO is less invasive, resulting in a shorter hospital stay than open surgery. And most recurrent adhesive SBO can be managed with ileus tube placement. This case series is to evaluate the efficacy of transnasal ileus tube placement combined with laparoscopic surgery in the treatment of consecutive 5 cases of refractory SBO post oncologic gastrointestinal surgery.
Keywords: Ileus tube; Laparoscopy; Small bowel obstruction


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