[Skip to Content]
Sign In
Individual Sign In
Create an Account
Institutional Sign In
OpenAthens Shibboleth
[Skip to Content Landing]
March 1982

Intestinal Intubation in Acute, Mechanical Small-Bowel Obstruction

Author Affiliations

From the Department of Surgery, University of Vermont College of Medicine, Burlington.

Arch Surg. 1982;117(3):334-336. doi:10.1001/archsurg.1982.01380270052011

• A review of 100 consecutive patients admitted with simple, mechanical small-bowel obstruction secondary to adhesions and treated for at least 24 hours with nonoperative intestinal intubation showed that of 76 patients admitted with partial small-bowel obstruction, 49 (65%) were successfully treated without operation. Of those with complete small-bowel obstruction (CSBO), 18 of 24 (75%) subsequently required surgical intervention; however, six of 24 (25%) were safely treated by nonoperative intubation. The 24-hour delay in surgery for CSBO did not increase morbidity or mortality in the 18 requiring operations. Major indications for surgical intervention were suspected strangulated obstruction or persistent obstruction, which frequently was associated with unsuccessful tube passage. Administration of antibiotics preoperatively was associated with a significant reduction in wound infections in patients requiring resection or enterotomy.

(Arch Surg 1982;117:334-336)

Becker W:  Acute adhesive ileus: A study of 412 cases with particular reference to the abuse of tube decompression in treatment . Surg Gynecol Obstet 1952;95:472-476.
Becker W:  Intestinal obstruction: An analysis of 1,007 cases . South Med J 1955;48:41-46.Article
Berne CJ, Payne JH:  Diagnosis and management of acute intestinal obstruction . Surg Clin North Am 1954;34:1403-1418.
Davis SE, Sperling L:  Obstruction of the small intestine . Arch Surg 1969;99:424-426.Article
Larsen E, Pories WJ:  Frequency of wound complications after surgery for small bowel obstruction . Am J Surg 1971;122:384-386.Article
Laws HL, Aldrete JS:  Small bowel obstruction: A review of 465 cases . South Med J 1976;69:733-734.Article
McKittrick LS, Sarris SP:  Acute mechanical obstruction of the small bowel: Its diagnosis and treatment . N Engl J Med 1940;222:611-622.Article
Silen W, Hein MF, Goldman L:  Strangulation of the small intestine . Arch Surg 1962;85:137-145.Article
Bollinger JA, Fowler EF:  Results of treatment of acute small bowel obstruction . Arch Surg 1953;66:888-904.Article
Dennis C:  Current procedure in management of obstruction of small bowel intestine . JAMA 1954;154:463-468.Article
Smith GA, Yonehire EG:  Mechanical intestinal obstructions: A study of 1,252 cases . Surg Gynecol Obstet 1955;101:651-660.
Wangensteen OH:  The early diagnosis of acute intestinal obstruction with comments on pathology and treatment; with a report of successful decompression of three cases of mechanical bowel obstruction by nasal catheter suction siphonage . West J Surg Obstet Gynecol 1932;40:1-17.
Wangensteen OH: Recognition of obstruction, in Intestinal Obstructions . Springfield, Ill, Charles C Thomas Publisher, 1955, pp 128-163.
Wangensteen OH, Rea CW, Smith BA, et al:  Experience with employment of suction in the treatment of acute intestinal obstruction: A reiteration of the indications, contraindications, and limitations of the method . Surg Gynecol Obstet 1953;68:851-868.
Goldberg HI, Dodds WJ:  Roentgen evaluation of small bowel obstruction . Dig Dis Sci 1979;24:245-252.Article
Gammill SL, Nice CM:  Air fluid levels: Their occurrence in normal patients and their role in the analysis of ileus . Surgery 1972;71:771-780.
Lo AM, Evans WE, Carey LC:  Review of small bowel obstruction at Milwaukee County General Hospital . Am J Surg 1966;111:884-887.Article
McIver MA:  Acute intestinal obstruction: I. General considerations . Arch Surg 1932;25:1098-1134.Article
Miller CJ:  A study of 343 surgical cases of intestinal obstruction . Ann Surg 1929;89:91-107.Article
Miller TG, Abbott WO:  Intestinal intubation: A practical technique . Am J Med Sci 1934;187:595-599.Article
Scudder CL:  Principles underlying treatment of acute intestinal obstruction: Study of 121 cases of acute intestinal obstruction from Massachusetts General Clinic . Trans NH Med Soc , 1908, p 234.
Stewardson RH, Bombeck CT, Nyhus LM:  Critical operative management of small bowel obstruction . Ann Surg 1978;187:189-193.Article
Sulfian S, Matsumoto T:  Intestinal obstruction . Am J Surg 1975;130:9-14.Article
Wangensteen OH:  The effects of distension , in Intestinal Obstruction . Springfield, Ill, Charles C Thomas Publisher, 1955, pp 13-96.
Wangensteen OH:  Decompression by application of suction to duodenal tubes in obstruction , in Intestinal Obstruction . Springfield, Ill, Charles C Thomas Publisher, 1955, pp 196-256.
Abbott WO:  Indications for the use of the Miller-Abbott tube . N Eng J Med 1941;225:641-646.Article
Cantor MO:  New simplified intestinal decompression tube . Am J Surg 1946;72:137-142.Article
Dennis C:  The gastrointestinal sump tube . Surgery 1969;66:309-312.
Snyder EN, McCranie D:  Closed loop obstruction of the small bowel . Am J Surg 1966;111:398-402.Article
Shatila AH, Chamberlain BE, Webb WR:  Current status of diagnosis and management of strangulation obstruction of the small bowel . Am J Surg 1970;120:756-759.Article
Leffall LD, Syphax B:  Clinical aids in strangulation intestinal obstruction . Am J Surg 1970;120:756-759.Article
Barnett WO, Petro AB, Williamson JW:  A current appraisal of problems with gangrenous bowel . Ann Surg 1976;183:653-659.Article
Goldman L, Silen W:  The threat of strangulation in acute intestinal obstruction . J Ariz Med Assoc 1958;15:337-340.
Saltzstein EC, Freeark RJ:  Gangrenous intestinal obstruction . Surg Gynecol Obstet 1962;114:694-700.