Published in:
01-10-2011 | Case Report
Temporary transgastrostomy tube for ileus
Published in: Clinical Journal of Gastroenterology | Issue 5/2011
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Purpose
In cases of small bowel obstruction, prolonged use of nasogastric tubes should be avoided because of the resulting discomfort. However, their use is necessary in some instances to avoid surgery, facilitate better prognosis, or prevent postoperative reobstruction in spite of the discomfort involved. We performed temporary percutaneous endoscopic gastrostomies preoperatively, intraoperatively, and postoperatively in such cases, which reduced the complications resulting from the use of a nasogastric tube and was also useful in additional therapeutic procedures.
Methods
We performed percutaneous endoscopic gastrostomy in five patients with ileus who were candidates for prolonged tube decompression due to complications such as adhesion ileus.
Results
Four patients avoided surgery or postoperative repeat surgery and one patient’s condition improved preoperatively.
Conclusions
Following gastrostomy, the patients were able to tolerate the transgastrostomy tube for longer periods than the nasogastric tube, and the transgastrostomy tube also resulted in better outcomes. Thus, temporary percutaneous endoscopic gastrostomy is a better option for selected patients with ileus.