Document Detail

Nonoperative retrieval of an impacted long intestinal tube.
MedLine Citation:
PMID:  855856     Owner:  NLM     Status:  MEDLINE    
A patient with recurrent intestinal obstruction and jejunocutaneous fistula was referred for treatment of the latter condition. Management with total parenteral nutrition was complicatied by bacteremia. Subsequently, a double-lumen tube was passed via an existing gastrostomy for purposes of aspirating above the level of the fistula and infusing appropriate nutrients and fluids distally. A period of marked clinical improvement was followed by increased fistula output and evidence of intestinal obstruction secondary to gaseous distention of a sealed latex terminal balloon which was retrieved only after percutaneous puncture. The unusual complication of prolonged intestinal intubation is discussed with special reference to this nonsurgical method of managing the impacted balloon and tube. Factors affecting balloon distention are discussed and the necessity of venting intestinal balloons reemphasized.
S L Coleman; W E Miller; J R Stroehlein; H N Hoffman
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of digestive diseases     Volume:  22     ISSN:  0002-9211     ISO Abbreviation:  Am J Dig Dis     Publication Date:  1977 May 
Date Detail:
Created Date:  1977-06-22     Completed Date:  1977-06-22     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0404011     Medline TA:  Am J Dig Dis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  462-4     Citation Subset:  AIM; IM    
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MeSH Terms
Foreign Bodies*
Intestinal Fistula / surgery
Intestinal Obstruction / etiology
Intubation, Gastrointestinal / adverse effects*
Middle Aged
Sepsis / complications
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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