To the Editor:—
Intestinal intubation is frequently employed in the management of small-bowel obstruction, a procedure from which complications have not been reported.1 We recently encountered an intubation complication in a patient who had had a gastroenterostomy. The diagnosis was made from plain abdominal x-ray films and confirmed at surgery. The purposes of this report are to describe the roentgenographic findings and to propose a method of avoiding the complication.
Report of a Case:—
A 25-year-old woman had had a gastrojejunostomy two years previously at another hospital for peptic ulcer. The patient was admitted to our hospital in December 1967 with a perforated gastric ulcer just distal to the gastrojejunostomy site. Surgical closure was performed without gastric resection, and the patient was soon discharged on a strict ulcer regimen.Three days later, she was readmitted with intractable periumbilical and epigastric pain. Definitive resectional surgery was planned after several days of
Alan Herschman, Jerry C. Phillips. Knotted Intestinal Decompression Tube. JAMA. 1968;204(7):634. doi:10.1001/jama.1968.03140200074029