Percutaneous needle decompression in treatment of malignant small bowel obstruction.

Ting-Hui Jiang, Xian-Jun Sun, Yue Chen, Hui-Qin Cheng, Shi-Ming Fang, Hao-Sheng Jiang, Yan Cao, Bing-Yan Liu, Shao-Qiu Wu, Ai-Wu Mao

Journal: World journal of gastroenterology 2015;21(8):2467-74

PMID: 25741156

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Abstract

AIM

To investigate the efficacy and safety of percutaneous needle decompression in the treatment of malignant small bowel obstruction (MSBO).

METHODS

A prospective analysis of the clinical data of 52 MSBO patients undergoing percutaneous needle decompression was performed.

RESULTS

Percutaneous needle decompression was successful in all 52 patients. Statistically significant differences were observed in symptoms such as vomiting, abdominal distension and abdominal pain before and after treatment (81.6% vs 26.5%, 100% vs 8.2%, and 85.7% vs 46.9%, respectively; all P < 0.05). The overall significantly improved rate was 19.2% (11/52) and the response rate was 94.2% (49/52) using decompression combined with nasal tube placement, local arterial infusion of chemotherapy and nutritional support. During the one-month follow-up period, puncture-related complications were acceptable.

CONCLUSION

Percutaneous needle intestinal decompression is a safe and effective palliative treatment for MSBO.

Address: Ting-Hui Jiang, Xian-Jun Sun, Shi-Ming Fang, Hao-Sheng Jiang, Yan Cao, Bing-Yan Liu, Shao-Qiu Wu, Ai-Wu Mao, Interventional Center, St. Luke's Hospital of Jiaotong University School of Medicine, Shanghai 200050, China.

DOI: 10.3748/wjg.v21.i8.2467

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Medical:

https://medlineplus.gov/intestinalobstruction.html

Other Literature Sources:

https://scite.ai/reports/25741156

MeSH Terms: Abdominal Pain, Adult, Aged, Aged, 80 and over, Decompression, Female, Humans, Intestinal Obstruction, Male, Middle Aged, Needles, Neoplasms, Palliative Care, Prospective Studies, Punctures, Tomography, X-Ray Computed, Treatment Outcome