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Abstract
Incorporation of a coiled spring within the lumen of a long intestinal tube has made
it possible and practical to readily decompress distended and acutely obstructed small
intestine at operation. Oral passage of the tube eliminates the necessity for enterostomy
or enterotomy. Leaving the tube in situ for a few days after operation in the presence
of peritoneal denudation of the bowel wall is tantamount to performance of the Noble
procedure of intestinal plication without use of sutures. Employment of this tube
has reduced considerably the operative mortality for acute nongangrenous obstruction
of the small bowel. The hospital mortality in acute simple obstruction was 1.3 percent;
in the presence of gangrene, 25 percent. Only earlier recognition and operation can
lessen the risk when the bowel viability is threatened.
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References
- Long coiled spring tube for operative intestinal decompression.Am. J. Surg. 1962; 104: 427
- Intestinal decompression: Use of a long tube with a coiled spring for relief of distention without enterotomy or enterostomy.Surgery. 1961; 49: 440
- A study of intestinal intubation using a flexible stylet with controllable tip.Surgery. 1952; 32: 17
- Intestinal obstructions.ed. 3. Charles C Thomas, Springfield1955
- New operative techniques in intestinal obstructions: Use of long intestinal tube; inlying tube in lower colon for decompression and infusion of fluids; and cervical esophagostomy tube for protracted periods of gastric suction or feeding.Wisconsin M. Soc. 1962; 61: 159
Article info
Footnotes
☆Supported by United States Public Health Service Grant AM02150 and the Donald J. Cowling Fund for Surgical Research.
Identification
Copyright
© 1965 Published by Elsevier Inc.
