[Intestinal placement of Miller-Abbott-tubes under endoscopic guidance (author's transl)]

Based on experiences with 9 treatments in 7 cases of intestinal obstruction, the technique of endoscopic transgastric guidance of Miller-Abbott-tubes is reported. On our service, the above mentioned method was applied in the treatment of intestinal obstruction observed in cases of advanced malignant lesions as well as in patients with intestinal obstruction in the early postoperative period. Apparative aids and technical guidelines are accentuated. The method requires a team consisting of at least one physician and three assistents with clearly defined competence. Success also depends on the selection of material used. Special problems arise in the treatment of patients following partial gastrectomy. Routine X-rays are important in order to control the course of treatment and to documentate the result. The inclusion of endoscopic aids resulted in successful intestinal intubation in all cases treated. The utilization of recommended guidelines seemingly rules out technical failure in the attempt of placing the tube in the desired anatomic position.