{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T03:48:44Z","timestamp":1761709724464,"version":"3.37.3"},"reference-count":22,"publisher":"Wiley","license":[{"start":{"date-parts":[[2020,5,15]],"date-time":"2020-05-15T00:00:00Z","timestamp":1589500800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81572414"],"award-info":[{"award-number":["81572414"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gastroenterology Research and Practice"],"published-print":{"date-parts":[[2020,5,15]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. The ileus tube has been widely used for the treatment of acute small bowel obstruction. However, it is difficult to get the tube sufficiently adjacent to the obstruction site due to various reasons. <jats:italic>Methods<\/jats:italic>. We developed a novel intubation technique, named Deeper Intubation Technique (DIT), by using the Zebra Urological Guidewire and digital gastrointestinal fluoroscopy, where we deepened the catheter intubation, and further compared the effects of DIT with the Traditional Intubation Technique (TIT) on the short-term clinical outcomes of 183 patients. <jats:italic>Results<\/jats:italic>. The average intubation depth of DIT apparently exceeds that of TIT (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mn>213.89<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn>31.11<\/mml:mn><\/mml:math> vs. <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mn>134.67<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn>18.22<\/mml:mn><mml:mtext>\u2009<\/mml:mtext><mml:mtext>cm<\/mml:mtext><\/mml:math>, <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\"><mml:mi>P<\/mml:mi><mml:mo>&lt;<\/mml:mo><mml:mn>0.001<\/mml:mn><\/mml:math>). Compared with patients in the TIT group, patients in the DIT group got a lower pain score (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\"><mml:mi>P<\/mml:mi><mml:mo>&lt;<\/mml:mo><mml:mn>0.001<\/mml:mn><\/mml:math>), shorter recovery time for anal exhaust defecation (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M5\"><mml:mn>2.87<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn>1.50<\/mml:mn><\/mml:math> vs. <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M6\"><mml:mn>3.37<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn>1.52<\/mml:mn><mml:mtext>\u2009<\/mml:mtext><mml:mtext>d<\/mml:mtext><\/mml:math>, <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M7\"><mml:mi>P<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.040<\/mml:mn><\/mml:math>), higher recovery rate in anal exhaust defecation (24\u2009h, 16.8% vs. 5.7%, <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M8\"><mml:mi>P<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.021<\/mml:mn><\/mml:math>; 48\u2009h, 46.3% vs. 27.3%, <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M9\"><mml:mi>P<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.009<\/mml:mn><\/mml:math>), better symptomatic remission rate and imaging relief rate (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M10\"><mml:mi>P<\/mml:mi><mml:mo>&lt;<\/mml:mo><mml:mn>0.05<\/mml:mn><\/mml:math>), and increased drainage volume (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M11\"><mml:mn>1006.88<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn>583.45<\/mml:mn><\/mml:math> vs. <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M12\"><mml:mn>821.02<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn>358.73<\/mml:mn><mml:mtext>\u2009<\/mml:mtext><mml:mtext>ml<\/mml:mtext><\/mml:math>, <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M13\"><mml:mi>P<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.009<\/mml:mn><\/mml:math>). Importantly, the emergency surgery rate in the DIT group was lower than that in the TIT group (3.2% vs. 13.6%, <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M14\"><mml:mi>P<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.014<\/mml:mn><\/mml:math>). In addition, the DIT procedure was effective for patients with adhesive obstruction but not for cancerous and stercoral bowel obstruction. <jats:italic>Conclusion<\/jats:italic>. Compared to TIT, DIT produced better short-term clinical outcomes, indicating that DIT is a safe and feasible technique for the treatment of adhesive intestinal obstruction.<\/jats:p>","DOI":"10.1155\/2020\/1625154","type":"journal-article","created":{"date-parts":[[2020,5,15]],"date-time":"2020-05-15T23:55:09Z","timestamp":1589586909000},"page":"1-8","source":"Crossref","is-referenced-by-count":9,"title":["Short-Term Clinical Outcomes after Using Novel Deeper Intubation Technique (DIT) of Ileus Tube for Acute Bowel Obstruction Patients"],"prefix":"10.1155","volume":"2020","author":[{"given":"Yanlu","family":"Tan","sequence":"first","affiliation":[{"name":"Department of Interventional Surgery, Central Hospital of Zibo, Zibo, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haibin","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenji","family":"Mao","sequence":"additional","affiliation":[{"name":"Department of Radiology, Central Hospital of Zibo, Zibo, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qin","family":"Yuan","sequence":"additional","affiliation":[{"name":"Outpatient Department, Central Hospital of Zibo, Zibo, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9545-3517","authenticated-orcid":true,"given":"Jun","family":"Niu","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Qilu Hospital of Shandong University, Jinan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200004000-00012"},{"issue":"1-2","key":"2","first-page":"17","volume":"30","year":"2001","journal-title":"African Journal of Medicine and Medical Sciences"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(03)00074-6"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1308\/003588409X358999"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2007.05.048"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2008.01.043"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-008-0587-7"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000000824"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-012-2011-6"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2017.01.023"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(78)90087-9"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(99)80305-5"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2006.11.005"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v18.i16.1968"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1007\/BF02237135"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1067\/msy.2001.116918"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-0882-7"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v18.i15.1822"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-006-0158-6"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2009.01.044"},{"issue":"4","key":"21","first-page":"291","volume":"50","year":"2007","journal-title":"Canadian Journal of Surgery"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000225097.60142.68"}],"container-title":["Gastroenterology Research and Practice"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/grp\/2020\/1625154.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/grp\/2020\/1625154.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/grp\/2020\/1625154.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,5,15]],"date-time":"2020-05-15T23:55:13Z","timestamp":1589586913000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/grp\/2020\/1625154\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,15]]},"references-count":22,"alternative-id":["1625154","1625154"],"URL":"https:\/\/doi.org\/10.1155\/2020\/1625154","relation":{},"ISSN":["1687-6121","1687-630X"],"issn-type":[{"type":"print","value":"1687-6121"},{"type":"electronic","value":"1687-630X"}],"subject":[],"published":{"date-parts":[[2020,5,15]]}}}