INTRODUCTION: Intestinal intubation with a Jones' tube has been suggested to reduce the incidence of recurrent adhesive obstruction. This paper describes our experience of this technique. PATIENTS AND METHODS: A retrospective case-note review was performed on 68 patients admitted to a teaching hospital who were identified as having had the Jones' intestinal tube placed over an 11-year period from 1980 to 1991, with a follow-up to 2003. The indication for placement and outcome following placement of the tube were documented with particular reference to recurrence of adhesive small bowel obstruction. RESULTS: Data on 63 patients were available. Of these, 7 had the Jones' tube placed prophylactically after pouch surgery and were thus excluded from the main study. Of the remaining 56 patients, all had the Jones' tube placed for recurrent adhesive small bowel obstruction with a median follow-up of 92 months, representing 353 patient-years. In 51 patients, the Jones' tube was placed during emergency surgery, while five others had it placed electively. A total of 1.7 cases of adhesive small bowel obstruction per 100 years of patient follow-up were identified following use of the Jones' tube compared to 12.9 cases per 100 patient-years prior to the use of the Jones' tube. CONCLUSIONS: Intestinal intubation with a Jones' tube is a safe and effective method of preventing recurrent adhesive obstruction.
INTRODUCTION: Intestinal intubation with a Jones' tube has been suggested to reduce the incidence of recurrent adhesive obstruction. This paper describes our experience of this technique. PATIENTS AND METHODS: A retrospective case-note review was performed on 68 patients admitted to a teaching hospital who were identified as having had the Jones' intestinal tube placed over an 11-year period from 1980 to 1991, with a follow-up to 2003. The indication for placement and outcome following placement of the tube were documented with particular reference to recurrence of adhesive small bowel obstruction. RESULTS: Data on 63 patients were available. Of these, 7 had the Jones' tube placed prophylactically after pouch surgery and were thus excluded from the main study. Of the remaining 56 patients, all had the Jones' tube placed for recurrent adhesive small bowel obstruction with a median follow-up of 92 months, representing 353 patient-years. In 51 patients, the Jones' tube was placed during emergency surgery, while five others had it placed electively. A total of 1.7 cases of adhesive small bowel obstruction per 100 years of patient follow-up were identified following use of the Jones' tube compared to 12.9 cases per 100 patient-years prior to the use of the Jones' tube. CONCLUSIONS: Intestinal intubation with a Jones' tube is a safe and effective method of preventing recurrent adhesive obstruction.
Authors: Victor W Fazio; Zane Cohen; James W Fleshman; Harry van Goor; Joel J Bauer; Bruce G Wolff; Marvin Corman; Robert W Beart; Steven D Wexner; James M Becker; John R T Monson; Howard S Kaufman; David E Beck; H Randolph Bailey; Kirk A Ludwig; Michael J Stamos; Ara Darzi; Ronald Bleday; Richard Dorazio; Robert D Madoff; Lee E Smith; Susan Gearhart; Keith Lillemoe; Jonas Göhl Journal: Dis Colon Rectum Date: 2006-01 Impact factor: 4.585
Authors: Richard P G Ten Broek; Pepijn Krielen; Salomone Di Saverio; Federico Coccolini; Walter L Biffl; Luca Ansaloni; George C Velmahos; Massimo Sartelli; Gustavo P Fraga; Michael D Kelly; Frederick A Moore; Andrew B Peitzman; Ari Leppaniemi; Ernest E Moore; Johannes Jeekel; Yoram Kluger; Michael Sugrue; Zsolt J Balogh; Cino Bendinelli; Ian Civil; Raul Coimbra; Mark De Moya; Paula Ferrada; Kenji Inaba; Rao Ivatury; Rifat Latifi; Jeffry L Kashuk; Andrew W Kirkpatrick; Ron Maier; Sandro Rizoli; Boris Sakakushev; Thomas Scalea; Kjetil Søreide; Dieter Weber; Imtiaz Wani; Fikri M Abu-Zidan; Nicola De'Angelis; Frank Piscioneri; Joseph M Galante; Fausto Catena; Harry van Goor Journal: World J Emerg Surg Date: 2018-06-19 Impact factor: 5.469
Authors: Ekin Ozturk; Marianne van Iersel; Martijn Mwj Stommel; Yvonne Schoon; Richard Rpg Ten Broek; Harry van Goor Journal: World J Emerg Surg Date: 2018-10-20 Impact factor: 5.469