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Updated: Apr 16, 2026
Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Percutaneous needle decompression in treatment of malignant small bowel obstruction
Ting-Hui Jiang1, Xian-Jun Sun1, Yue Chen1
1Ting-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.
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.
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