The effective placement of Miller-Abbott-tubes under endoscopic guidance. Technical improvements

In an earlier publication, the intestinal placement of Miller-Abbott-tubes using routine gastroscopic equipment was proposed for the conservative treatment of intestinal obstruction. In addition to the technical advices presented at this early stage of personal experience, we now recommend to 1. insert the tube primarily through the nostrils, 2. extract the tip through the mouth, 3. grasp the leading ligature of the tube tip extracorporally by means of the biopsy instrument and 4. guide the tube tip to the target area by orogastric approach. This technical improvement excludes difficulties in respect to patient cooperation or other special disadvantages and made 26 intestinal intubations in an uninterrupted series an easy and worthwhile procedure.