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Postoperative adhesive intestinal obstruction: The role of intestinal stenting

Ravikumar Ramanathan Valkodai1, Rajamani Gurusami, Vijayagiri Duraisami

  • 1Department of Paediatric Surgery, G. Kuppusami Naidu Memorial Hospital, Coimbatore, Tamil Nadu, India.

Journal of Indian Association of Pediatric Surgeons
|January 27, 2012
PubMed

Insights

This study shows that using a long intestinal tube stent can effectively prevent recurrent small bowel obstruction in children after surgery. The treatment proved safe and successful in all six patients during long-term follow-up.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Medical Devices

Background:

  • Adhesive small bowel obstruction is a common complication following abdominal surgery in children.
  • Recurrent obstruction can lead to significant morbidity and repeated hospitalizations.

Purpose of the Study:

  • To evaluate the safety and efficacy of small bowel stenting with a long intestinal tube in pediatric patients experiencing postoperative adhesive obstruction.
  • To assess the long-term outcomes of this intervention in preventing recurrence.

Main Methods:

  • Six pediatric patients with adhesive small bowel obstruction were treated.
  • Small bowel stenting was performed using a long intestinal tube.
  • Access for stenting was achieved via jejunostomy in two patients and appendiceal base in four patients.

Main Results:

  • No recurrence of small bowel obstruction was observed in any of the six patients.
  • Follow-up ranged from 2 to 14 years, indicating sustained efficacy.
  • The procedure was deemed safe for the pediatric population studied.

Conclusions:

  • Intraluminal stenting with a long intestinal tube is a safe and effective method for preventing recurrent adhesive small bowel obstruction in select pediatric patients.
  • This technique offers a viable solution for managing complex postoperative gastrointestinal issues.
Abstract

Keywords:
Intestinal obstructionintestinal stentingpostoperative adhesive obstructionrecurrent small bowel obstruction

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