Abstract
Transanal ileus tube insertion is useful to avoid emergency operation in case of ileus due to advanced colon carcinoma. However, in some cases, it is difficult to insert ileus tubes or guidewires through the stenotic portion. This study shows the potential of thin endoscopes and guidewires, which are usually used in endoscopic retrograde cholangiopancreatography (ERCP), in cases that failed by the standard method. We evaluated whether using nasal endoscopes and guidewires for ERCP could help with safe insertion of a decompressive tube through the malignant stenotic section of the colon without any complications. We reviewed 24 cases of insertion of a transanal ileus tube between October 2008 and August 2011 in our hospital. We evaluated the method of transanal ileus tube insertion. In 15 out of 24 cases, ileus tubes were inserted by an alternative procedure, without any complications.
In cases with unsuccessful attempt to insert the decompressive tube, a thin endoscope or guidewires for ERCP can be used to facilitate safe insertion.
