| Theme | Indications and Standards of Practice for Emergency Endoscopy | |
|---|---|---|
| Title | Intestinal Obstruction | |
| Publish Date | 2018/05 | |
| Author | Kenji Tominaga | Division of Gastroenterology and Hepatology, Department of Internal Medicine |
| Author | Ryusuke Kimura | Division of Gastroenterology and Hepatology, Department of Internal Medicine |
| Author | Makiko Mori | Division of Gastroenterology and Hepatology, Department of Internal Medicine |
| Author | Yuki Yoshida | Division of Gastroenterology and Hepatology, Department of Internal Medicine |
| Author | Atsuko Takahashi | Division of Gastroenterology and Hepatology, Department of Internal Medicine |
| Author | Iruru Maetani | Division of Gastroenterology and Hepatology, Department of Internal Medicine |
| [ Summary ] | Intestinal obstruction is a disease in acute abdomen and is mechanical/physical obstruction of intestinal tract. Based on the site of obstruction, it is classified into small and large bowel obstruction. The treatment strategy varies based on the site of obstruction; thus, it is important to accurately diagnose the site of obstruction. Intestinal obstruction requires immediate intestinal decompression. Recently, with wider use of emergency endoscopic procedures, immediate intestinal decompression can be promptly performed. In patients presenting with small bowel obstruction, intestinal decompression involves the placement of a transnasal drainage tube using a transnasal endoscope, whereas in those presenting with large bowel obstruction, the procedure involves the placement of a transanal drainage tube using a colonoscope and a colorectal stent. Correct application of these methods is important to perform optimal intestinal decompression. | |