Endoscopically Assisted Transcervical Esophagogastric Tube Placement for Nonoperative Intestinal Obstruction: An Alternative to PEG Placement

The study aims to summarize the updated evidence regards, epidemiology, causes, clinical manifestations, and management of paralytic ileus. Lower abdominal surgical procedure, particularly big open cuts and increased bowel operations, is linked with an increased hazard of bowel obstruction. Though, numerous risk issues have been revealed to upsurge the probability and resistance of intestinal obstruction, such as prolonged abdominal / pelvic surgery, lower gastrointestinal (GI) surgery, open surgery, retroperitoneal spine surgery, opioid use, cancer peritoneal, intra-abdominal inflammation (sepsis / peritonitis), delayed enteral nutrition or nasogastric (NG) tube placement, and hypokalemia. Signs of intestinal obstruction are tachycardia caused by any interruption of movement, absence of abdominal pain, abdominal distention and tenderness, shortness of breath, and hypovolemia. Bowel sounds disappear and flatulence is not discharged, leading to gastric stasis, which can cause hiccups, discomfort, and easy vomiting. Preventive measures include avoiding unnecessary exposure and over-processing of the intestine or traction of the mesentery. Treatment is conservative, as this condition is mostly self-limited. Pharmacologic Therapy have little place, but there are some exceptions of adequate values.

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Use of T-Tube Enterostomy in Neonatal Gastro-intestinal Surgery

Journal of Neonatal Surgery ◽

10.21699/jns.v5i4.456 ◽

2016 ◽

Vol 5 (4) ◽

pp. 46 ◽

Cited By ~ 1

Author(s):

Maher Al-zaiem ◽

Abdulhadi F. AL-Garni ◽

Abdulrahman Almaghrebi ◽

Asim A. Asghar

Keyword(s):

Intestinal Obstruction ◽

Bowel Resection ◽

Oral Intake ◽

Tube Placement ◽

Intestinal Surgery ◽

Tube Insertion ◽

T Tube ◽

Jejunoileal Atresia ◽

Safe Technique ◽

The Mean

Aim: To evaluate the results of the use of the T-tube ileostomy in neonatal intestinal surgery cases.Materials and Methods: A retrospective review of sixty two neonates underwent intestinal obstruction surgery by using T-tube ileostomy was conducted between January 1990 and January 2013.The pathologies of the intestinal obstruction were; thirty four of jejunoileal atresia cases, thirteen case meconium ileus, eight cases perforated necrotizing enterocolitis (NEC), three cases meconium peritonitis, three cases with bowel resection due to intestinal volvulus, and one case of gastroschisis.Results: Mean duration of T-tube placement was 13 days (range9–20days) and the sites of T-tube insertion closed spontaneously in 2 days (range 1-4 days). The mean duration for starting oral intake postoperatively in these patients was 9 days (6-16 days). All patients well tolerated the procedure and there were no serious complications related to the T-tube insertion. However, four patients died due to other reasons like sepsis, respiratory failure and prematurity.Conclusion: T-tube enterostomy is an effective and safe technique for treatment of selected cases of neonatal intestinal surgery. It showed less morbidity and mortality rates than the conventional stoma. Therefore, it is considered a helpful approach in cases where there is danger of hypoperistaltic dilated bowel proximal to the anastomosis.

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Advantage of Long Ileus-tube Placement by Gastrostomy for Treating Patients with Refractory Intestinal Obstruction

The Showa University Journal of Medical Sciences ◽

10.15369/sujms.28.31 ◽

2016 ◽

Vol 28 (1) ◽

pp. 31-37

Author(s):

Hiromi DATE ◽

Masahiko MURAKAMI ◽

Makoto WATANABE ◽

Satoru GOTO ◽

Kimiyasu YAMAZAKI ◽

...

Keyword(s):

Intestinal Obstruction ◽

Tube Placement

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Chronic intestinal obstruction: value of percutaneous gastrostomy tube placement

American Journal of Roentgenology ◽

10.2214/ajr.150.2.295 ◽

1988 ◽

Vol 150 (2) ◽

pp. 295-297 ◽

Cited By ~ 9

Author(s):

D Picus ◽

MV Marx ◽

PJ Weyman

Keyword(s):

Intestinal Obstruction ◽

Gastrostomy Tube ◽

Tube Placement ◽

Percutaneous Gastrostomy ◽

Gastrostomy Tube Placement ◽

Percutaneous Gastrostomy Tube

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Passy-Muir Speaking Valve Use in a Children's Hospital: An Interdisciplinary Approach

Perspectives on Voice and Voice Disorders ◽

10.1044/vvd18.2.76 ◽

2008 ◽

Vol 18 (2) ◽

pp. 76-86 ◽

Cited By ~ 2

Author(s):

Lauren Hofmann ◽

Joseph Bolton ◽

Susan Ferry

Keyword(s):

Tracheostomy Tube ◽

Pediatric Population ◽

Interdisciplinary Approach ◽

Extended Period ◽

Speech Development ◽

Tube Placement ◽

Background Information ◽

Speaking Valve ◽

Children's Hospital ◽

Children’S Hospital

Abstract At The Children's Hospital of Philadelphia (CHOP) we treat many children requiring tracheostomy tube placement. With potential for a tracheostomy tube to be in place for an extended period of time, these children may be at risk for long-term disruption to normal speech development. As such, speaking valves that restore more normal phonation are often key tools in the effort to restore speech and promote more typical language development in this population. However, successful use of speaking valves is frequently more challenging with infant and pediatric patients than with adult patients. The purpose of this article is to review background information related to speaking valves, the indications for one-way valve use, criteria for candidacy, and the benefits of using speaking valves in the pediatric population. This review will emphasize the importance of interdisciplinary collaboration from the perspectives of speech-language pathology and respiratory therapy. Along with the background information, we will present current practices and a case study to illustrate a safe and systematic approach to speaking valve implementation based upon our experiences.

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The Effect of Vomiting Due to Intestinal Obstruction on the Serum Potassium

Gastroenterology ◽

10.1016/s0016-5085(49)80005-9 ◽

1949 ◽

Vol 12 (1) ◽

pp. 49-56 ◽

Cited By ~ 13

Author(s):

Samuel Bellet ◽

Carl S. Nadler ◽

Peter C. Gazes ◽

Mary Lannzng

Keyword(s):

Intestinal Obstruction ◽

Serum Potassium

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Two Siblings with Total Colonic Aganglionosis Extended to the Ileum

Swiss Surgery ◽

10.1024/1023-9332.9.4.187 ◽

2003 ◽

Vol 9 (4) ◽

pp. 187-189

Author(s):

Aslan ◽

Caglar ◽

Karagüzel ◽

Melikoglu

Keyword(s):

Intestinal Obstruction ◽

Loop Ileostomy ◽

Good Condition ◽

Disease Type ◽

Definitive Treatment ◽

Entire Colon ◽

Total Colonic Aganglionosis ◽

Protective Ileostomy ◽

Definitive Surgery ◽

Partial Intestinal Obstruction

Total colonic aganglionosis (TCA) extended to the ileum is seen quite rare among infants with Hirschsprung's disease. Type and timing of definitive surgery in these patients are controversial. This report was presented to discuss the management of two siblings with TCA. Case 1: A two-day-old girl was operated for partial intestinal obstruction. During laparotomy, serial frozen biopsies proved TCA extended to the terminal ileum and a loop ileostomy was performed. At five months of age, a modified Duhamel-Martin procedure without protective ileostomy was performed. An endo-GIA stapler was transanally used for colo-ileal anastomosis. She is doing well for the last five years. Case 2: A one-day-old boy admitted to the hospital with similar findings to his sister. Frozen biopsies during first laparotomy proved that majority of ileum and entire colon was aganglionic and a proximal ileostomy was performed. At 10 months of age, he underwent a similar Duhamel-Martin operation. He is in a good condition for the last four years. Conclusion: In infants, our modification on Duhamel-Martin procedure, which is based on the use of an endo-GIA stapler transanally for colo-ileal anastomosis without protective ileostomy, may be utilized as an alternative method in the definitive treatment of patients with TCA.

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