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Shapovolyants S.G.

Pirogov Russian National Research Medical University

Larichev S.E.

Moscow City Clinical Hospital No. 17;
Pirogov Russian National Research Medical University

Shabrin A.V.

City Clinical Hospital No. 17;
Pirogov Russian National Research Medical University

Zheleshchikov A.L.

City Clinical Hospital No. 17;
Pirogov Russian National Research Medical University

Chesarev A.A.

Pirogov Russian National Research Medical University;
City Clinical Hospital No. 31

Nasointestinal intubation in the treatment of acute adhesive small bowel obstruction

Authors:

Shapovolyants S.G., Larichev S.E., Shabrin A.V., Zheleshchikov A.L., Chesarev A.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2022;(12‑2): 81‑89

DOI: 10.17116/hirurgia202212281

Read: 3999 times

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Table of contents

NASOINTESTINAL INTUBATION IN THE TREATMENT OF ACUTE ADHESIVE SMALL BOWEL OBSTRUCTION
NASOINTESTINAL INTUBATION IN THE TREATMENT OF ACUTE ADHESIVE SMALL BOWEL OBSTRUCTION

To cite this article:

Shapovolyants SG, Larichev SE, Shabrin AV, Zheleshchikov AL, Chesarev AA. Nasointestinal intubation in the treatment of acute adhesive small bowel obstruction. Pirogov Russian Journal of Surgery. 2022;(12‑2):81‑89. (In Russ.)
https://doi.org/10.17116/hirurgia202212281

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Proximal gastrointestinal decompression is essential in the treatment of acute adhesive small bowel obstruction. Improvement of endoscopic methods, surgical instruments and radiological methods of control makes it possible to timely assess lavage and intra-intestinal therapy. The review presents current views on upper gastrointestinal decompression and other options for the treatment of adhesive small bowel obstruction.

Keywords:

acute adhesive small bowel obstruction
nasointestinal decompression
intra-intestinal therapy
water-soluble contrast agent
enterography

Authors:

Shapovolyants S.G.

Pirogov Russian National Research Medical University

Larichev S.E.

Moscow City Clinical Hospital No. 17;
Pirogov Russian National Research Medical University

Shabrin A.V.

City Clinical Hospital No. 17;
Pirogov Russian National Research Medical University

Zheleshchikov A.L.

City Clinical Hospital No. 17;
Pirogov Russian National Research Medical University

Chesarev A.A.

Pirogov Russian National Research Medical University;
City Clinical Hospital No. 31

Received:

27.04.2022

Accepted:

30.05.2022

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References:

  1. Natsional’nye klinicheskie rekomendatsii «Ostraya neopukholevaya kishechnaya neprohodimost’». 2015. (In Russ.). Accessed September 10, 2022. https://www.chelsma.ru/files/misc/oknneopukholevaja.pdf
  2. Ten Broek RPG, Krielen P, Di Saverio S, Coccolini F, Biffl WL, Ansaloni L, Velmahos GC, Sartelli M, Fraga GP, Kelly MD, Moore FA, Peitzman AB, Leppaniemi A, Moore EE, Jeekel J, Kluger Y, Sugrue M, Balogh ZJ, Bendinelli C, Civil I, Coimbra R, De Moya M, Ferrada P, Inaba K, Ivatury R, Latifi R, Kashuk JL, Kirkpatrick AW, Maier R, Rizoli S, Sakakushev B, Scalea T, Søreide K, Weber D, Wani I, Abu-Zidan FM, De’Angelis N, Piscioneri F, Galante JM, Catena F, van Goor H. Bologna guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO): 2017 update of the evidence-based guidelines from the world society of emergency surgery ASBO working group. World Journal of Emergency Surgery: WJES. 2018;13:24.  https://doi.org/10.1186/s13017-018-0185-2
  3. Gowen GF. Long tube decompression is successful in 90% of patients with adhesive small bowel obstruction. American Journal of Surgery. 2003;185(6):512-515.  https://doi.org/10.1016/S0002-9610(03)00074-6
  4. Kriger AG, Andreitsev IL, Voskresensky PK. Acute adhesive small bowel obstruction: limitations of laparoscopic diagnosis and treatment. Endoskopicheskaya khirurgiya. 2002;1:41-45. (In Russ.).
  5. Christopher T. Aquina, Fergal J. Fleming. Who Should Manage Patients with Adhesive Small Bowel Obstruction? Advances in Surgery. 2017;51(1):125-140.  https://doi.org/10.1016/j.yasu.2017.03.010
  6. Pokrovsky EZh, Vaganov AG. O neobkhodimosti intubatsii tonkogo kishechnika pri razlitom peritonite. Problemy i perspektivy sovremennoj nauki. Sbornik nauchnykh trudov. Ilinskikh NN, ed. M. 2009;2(1). (In Russ.).
  7. Matveev NL, Arutyunyan DYu. Adhesive disease — underestimated problem (literature review). Endoskopicheskaya khirurgiya. 2007;13(5): 60-69. (In Russ.).
  8. Larichev SE, Shapovalyants SG, Zavyalov BG, Shabrin AV, Omelyanovich DA, Zheleshchikov AL. New approaches in conservative treatment of acute adhesive small bowel obstruction. Khirurgiya. Zhurnal im. N.I. Pirogova. 2021;6:45-53. (In Russ.). https://doi.org/10.17116/hirurgia202106145
  9. Kosinets VA. Malabsorption syndrome: pathogenesis, modern approach of diagnosis and treatment. Novosti khirurgii. 2008;16(2):130-138. (In Russ.). https://elib.vsmu.by/handle/123/9216
  10. Khadzhibaev AM, Madiev RZ, Khalilov AS. Differential approach to the use of nasointestinal intubation in acute bowel obstruction and peritonitis. Vestnik ekstrennoj meditsiny. 2015;2:54-59. (In Russ.).
  11. Van der Waaij D. Colonization pattern of the digestive tract by potentially pathogenic microorganisms: colonization-controlling mechanisms and consequences for antibiotic treatment. Infection. 1983;11(Suppl 2): 90-92.  https://doi.org/10.1007/BF01645295
  12. Veretennikov VA. The optimization of the therapy of malabsorption in patients with peritonitis and bowel obstruction. Hieroglyph. 2006;8(28):1163-1165. (In Russ.).
  13. Korymasov EA. Gorbunov YuV, Smelkin DA. Discussion questions of small intestine intubation. Khirurgicheskaya praktika. 2013;3:55-59. (In Russ.).
  14. Guzeev AI. Intestinal intubation in emergency abdominal surgery. Vestnik khirurgii. 2002;161(2):92-95. (In Russ.).
  15. Protokoly diagnostiki i lecheniya ostrykh khirurgicheskikh zabolevanij organov bryushnoj polosti. SPb; 2007. (In Russ.).
  16. Gain YuM, Leonovich SI, Alekseev SA. Enteral’naya nedostatochnost’ pri peritonite: teoreticheskie i prakticheskie aspekty, diagnostika i lechenie. Minsk: Molodechno; 2001. (In Russ.).
  17. Veretennikov VA, Danilova TV. Retrograde intestinal intubation in the treatment of bowel obstruction. Novye tekhnologii v zdravookhranenii. 2007;6:114-115. (In Russ.).
  18. Waclawizcer HW. Experience with operations of mechanical ileus. Langenbeck’s Archives of Surgery. 1987;370(1):37-52.  https://doi.org/10.1007/BF01259425
  19. Nechaev EA, Kurygin AA, Khanevich MD. Intestinal decompression in peritonitis and bowel obstruction. SPb: Rosmedpolis; 1993. (In Russ.).
  20. Shorokh GP, Pikirenya II, Shorokh SG. Diagnostika, khirurgicheskaya taktika i lechenie ostroj kishechnoj neprokhodimosti neopukholevogo geneza. Dekabr’skie chteniya po neotlozhnoj khirurgii. Shorokh GP, ed. Minsk. 2000;5:7-30. (In Russ.).
  21. Sapozhkov AYu, Nikolsky VI. Dekompressiya kishechnika. Penza; 1992. (In Russ.).
  22. Ivashkin VT, Poluektova EA, Glazunov AB, Putilovskiy MA, Epstein OI. Pathogenetic approach to the treatment of functional disorders of the gastrointestinal tract and their intersection: results of the Russian observation retrospective program COMFORT. BMC Gastroenterology. 2020;20(2):1-10. Published 31 December 2019. https://doi.org/10.1186/s12876-019-1143-5
  23. Khomyakov EA, Rybakov EG. Postoperative paralytic ileus. Khirurgiya. Zhurnal im. N.I. Pirogova. 2017;3:76-85. (In Russ.). https://doi.org/10.17116/hirurgia2017376-85
  24. Shurkalin BK, Gorsky VA, Volenko AV. Nazointestinal’naya intubatsiya v lechenii bol’nykh rasprostranennym peritonitom. Sbornik statej XII s”ezda khirurgov Rossii. Rostov-na-Donu. 2015:174. (In Russ.).
  25. Petrov VP, Kuznetsov IV, Dolenikova AA. Intestinal intubation in the treatment of patients with peritonitis and bowel obstruction. Khirurgiya. 1999;5:41-44. (In Russ.).
  26. Rummo OO, Kirkovsky VV, Korotkov SV. Methodological aspects of the nasointestinal intubation in the acute bowel obstruction of different etiology. Meditsinskij zhurnal. 2010;1(31):102-107. (In Russ.).
  27. Veretennikov VA, Danilova TV. The explanation of application of retrograde intestinal intubation in strangulating obstruction. Aktual’nye voprosy khirurgii. 2006;6:29-32. (In Russ.).
  28. Gorsky VA, Volenko AV, Krivikhin DV, Cherevatenko AM, Armashov VP. Technical features of nasointestinal decompression in peritonitis. Prakticheskaya meditsina. 2017;6(107):27-31. (In Russ.).
  29. Yurkin EM, Kulikov LK, Privalov YuA, Mironov VI. Motility disorders in the patients with intestinal intubation in purulent peritonitis. Sibirskij meditsinskij zhurnal. 2009;9:171-173. (In Russ.).
  30. Makedonskaya TP, Pakhomova GV, Popova TS. Treatment of malabsorbtion in patients with peritonitis. Khirurgiya. 2004;10:31-33. (In Russ.).
  31. Picot D, Layec S, Dussaulx L, Trivin F, Thibault R. Chyme reinfusion in patients with intestinal failure due to temporary double enterostomy: a 15-year prospective cohort in a referral centre. Clinical Nutrition. 2017;36(2):593-600.  https://doi.org/10.1016/j.clnu.2016.04.020
  32. Kurbanov KM, Gulov MK, Nurnazarov IG. Complex diagnostics and surgical treatment of acute adhesive bowel obstruction. Vestnik khirurgii. 2006;165(3):54-57. 
  33. Dyster MB, Krass M, Adams LM. The kinked Cantor tube syndrome. The Journal of Family Practice. 1991;13(7):1059-1062.
  34. Furness JB. Types of neurons in the enteric nervous system. Journal of the Autonomic Nervous System. 2000;81:87.  https://doi.org/10.1016/s0165-1838(00)00127-2
  35. Takaki M. Gut pacemaker cells: The interstitial cells of Cajal (ICC). Journal of Smooth Muscle Research. 2003;39(5):137-161.  https://doi.org/10.1540/jsmr.39.137
  36. Ordog T. Interstitial cells of Cajal in diabetic gastroenteropathy. Neurogastroenterology and Motility. 2008;20(1):8-18.  https://doi.org/10.1111/j.1365-2982.2007.01056.x
  37. Zemlyanoy VP, Sigua BV, Vovk AV, Kurkov AA, Ignatenko VA. Ebbott-Miller tube: intubate or not? Grekov’s Bulletin of Surgery. 2017;176(4)100-103. (In Russ.).
  38. Chen XL, Ji F, Lin Q, Chen YP, Lin JJ, Ye F, Yu JR, Wu YJ. A prospective randomized trial of transnasal ileus tube vs nasogastric tube for adhesive small bowel obstruction. World Journal of Gastroenterology. 2012;18(16):1968-1974. https://doi.org/10.3748/wjg.v18.i16.1968
  39. Fleshner PR, Siegman MG, Slater GI, Brolin RE, Chandler JC, Aufses AH. A prospective, randomized trial of short versus long tubes in adhesive small-bowel obstruction. American Journal of Surgery. 1995;170:366-370.  https://doi.org/10.1016/s0002-9610(99)80305-5
  40. Nelson R, Edwards S, Tse B. Prophylactic nasogastric decompression after abdominal surgery. The Cochrane Database of Systematic Reviews. 2007;(3):CD004929. https://doi.org/10.1002/14651858.CD004929.pub3
  41. Meissner K. Effectiveness of intestinal tube splinting: a prospective observational study. Digestive Surgery. 2000:17(1):49-56.  https://doi.org/10.1159/000018800
  42. Mendel NA, Volostnikov EV, Plotnikov YuV, Sheiko VD, Shmidt Ya. Is intestinal intubation in acute bowel obstruction effective? Old dogmas and revolution of the views. Vestnik khirurgii. 2013;172(4):100-104. (In Russ.).
  43. Kirkovsky VV, Tretyak SI, Kirkovsky VV, Rummo OO. Zond trekhprosvetnyj dlya nazogastrointestinal’noj intubatsii. Patent Respubliki Belarus’ №2151. Opubl. 01.06.05. (In Russ.). Accessed September 10, 2022. https://bypatents.com/3-u2151-zond-trehprosvetnyjj-dlya-nazogastrointestinalnojj-intubacii.html?ysclid=l8fseedlnc850180341
  44. Luft VM, Kostyuchenko AL, Leyderman IN. Rukovodstvo po klinicheskomu pitaniyu bol’nykh v intensivnoj meditsine. SPb, Yekaterinburg: Farm Info; 2003. (In Russ.).
  45. Gelfand BR, Protsenko DN, Chubchenko SV. Syndrome of intraabdominal hypertension in surgical patients: problems. Infektsii v khirurgii. 2007;5:3. (In Russ.).
  46. Post S, Schuster KL. Verlassenes, Bewährtes und Aktuelles zur operativen Dünndarmileus-Therapie. Der Chirurg. 2000;71(5):524-531. (In German). https://doi.org/10.1007/s001040050850
  47. Al Sarakbi W, Bentley PG. Whole gut intubation splinting — last refuge for the surgically desperate? Annals of the Royal College of Surgeons of England. 2010;92(6):529-530.  https://doi.org/10.1308/003588410x12699663905159b
  48. Wittens CH, Munting JD, Lens J. Intraluminal Miller-Abbott tube stenting as treatment and prophylaxis of recurrent intestinal obstruction. The Netherlands Journal of Surgery. 1990;42(5):123-127. 
  49. Helmkamp BF, Kimmel J. Conservative management of small bowel obstruction. American Journal of Obstetrics and Gynecology. 1985;152(6 Pt 1): 677-679. 
  50. Matkevich VA. Kishechnyj lavazh. Meditsinskaya toksikologiya. Natsional’noe rukovodstvo. Luzhnikov EA, ed. M.: GEOTAR-Media; 2012. (In Russ.).
  51. Marik PE, Zaloga GP. Early enteral nutrition in acutely ill patients: A systematic review. Critical Care Medicine. 2001;29:2264-2270. https://doi.org/10.1097/00003246-200112000-00005
  52. Montejo JC, Miñambres E, Bordejé L, Mesejo A, Acosta J, Heras A, Ferré M, Fernandez-Ortega F, Vaquerizo CI, Manzanedo R. Gastric residual volume during enteral nutrition in ICU patients: The REGANE study. Intensive Care Medicine. 2010;36(8):1386-1393. https://doi.org/10.1007/s00134-010-1856-y
  53. Filipenko BP. Spaechnaya bolezn’: profilaktika i lechenie. SPb; 2013. (In Russ.).
  54. Ermolov AS, Popova TS, Pakhomova GV. Sindrom kishechnoj nedostatochnosti v neotlozhnoj abdominal’noj khirurgii. M.: MedEkspertPress; 2005. (In Russ.).
  55. Simonenkov AP, Karpun NA, Vrublevsky OYu, Polovnikov SG, Lukyanets OB, Korotchenko SV. The use of serotonin adipinate to restore impaired smooth muscle function in surgical and therapeutic patients. Vestnik intensivnoj terapii. 2005;1:53-57. (In Russ.).
  56. De Winter BY, Boeckxstaens GE, De Man JG, Moreels TG, Herman AG, Pelckmans PA. Effect of adrenergic and nitrergic blockade on experimental ileus in rats. British Journal of Pharmacology. 1997;120(3):464-468.  https://doi.org/10.1038/sj.bjp.0700913
  57. Taché Y, Mönnikes H, Bonaz B, Rivier J. Role of CRF in stress-related alterations of gastric and colonic motor function. Annals of the New York Academy of Sciences. 1993;697:233-243.  https://doi.org/10.1111/j.1749-6632.1993.tb49936.x
  58. Wade PR, Tamir H, Kirchgessner AL, Gershon MD. Analysis of the role of 5-HT in the enteric nervous system using anti-id-iotypic antibodies to 5-HT receptors. The American Journal of Physiology. 1994;266:403-416.  https://doi.org/10.1152/ajpgi.1994.266.3.G403
  59. Smirnova VI, Simonenkov AP, Kazennov VV, et al. Treatment of smooth muscle insufficiency in surgical patients. Khirurgiya. 1998;3:31-32. (In Russ.).
  60. Schwarz NT, Beer-Stolz D, Simmons RL, Bauer AJ. Pathogenesis of paralytic ileus: intestinal manipulation opens a transient pathway between the intestinal lumen and the leukocytic infiltrate of the jejunal muscularis. Annals of Surgery. 2002;235(1):31-40.  https://doi.org/10.1097/00000658-200201000-00005
  61. Tutton PJ, Barkla DH. Biogenic amines as regulators of the proliferative activity of normal and neoplastic intestinal epithelial cells (Review). Anticancer Research. 1987;7(1):1-12. 
  62. Van Leeuwen PA, Boermeester MA, Houdijk AP, Ferwerda CC, Cuesta MA, Meyer S, Wesdorp RI. Clinic value of a translocation. Gut. 1994;35(1):28-34. 
  63. Böhm B, Milsom JW, Fazio VW.Postoperative intestinal motility following conventional and laparoscopic intestinal surgery. Archives of Surgery. 1995;130(4):415-419.  https://doi.org/10.1001/archsurg.1995.01430040077017
  64. Brandt LJ, Boley SJ. Ischemic and Vascular Lesions of the Bowel. Gastrointestinal Disease. 5th ed. Philadelphia: W.B. Saunders; 1993:1927-1961.
  65. Condon RE, Frantzides CT, Cowles VE, Mahoney JL, Schulte WJ, Sarna SK. Resolution of postoperative ileus in humans. Annals of Surgery. 1986;203(5):574-581.  https://doi.org/10.1097/00000658-198605000-00019
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