Authors: YoungJoo Kim Chang Jin Yoon Nak Jong Seong SungGwon Kang SeungWon An YoungNam Woo
Publish Date: 2013/05/09
Volume: 23, Issue: 10, Pages: 2747-2753
Abstract
A total of 21 patients mean age 60 years with single n = 4 or multiple n = 17 MSBO underwent PRJ following jejunopexy The medical records and imaging studies were retrospectively reviewed to evaluate the technical/clinical success and complications Clinical success was determined by symptomatic relief and radiologic bowel decompressionPRJ using a 12 or 14F drainage catheter was technically successful in all patients Eleven patients required placement of an 18F nasogastric tube across one n = 3 two n = 6 and three n = 2 obstructions to achieve clinical success Subsequently selfexpandable stents were placed through the PRJ tracts to recanalise MSBO in four patients Clinical success was achieved in 18 patients 857 The median food intake capacity score improved from 40 to 20 P = 0001 There were one major peritonitis 48 and six minor complications 286 PRJ using a nasogastric tube across the obstructions is an effective palliative treatment for MSBO The PRJ tract can be used as an approach route for stent placement to recanalise MSBO However dedicated devices should be developed to reduce frequent procedurerelated complications
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