Sonographic detection of visceral adhesion in percutaneous drainage of afferent-loop small-intestine obstruction
✍ Scribed by Kitamura, Hiroshi; Miwa, Shiro; Nakata, Takenari; Nomura, Kazuhiko; Tanaka, Toshiyuki; Ikegami, Toshihiko; Miyagawa, Shinichi; Kawasaki, Seiji
- Publisher
- John Wiley and Sons
- Year
- 2000
- Tongue
- English
- Weight
- 200 KB
- Volume
- 28
- Category
- Article
- ISSN
- 0091-2751
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✦ Synopsis
To facilitate the percutaneous drainage of an afferent-loop small-intestine obstruction, we used sonography to detect visceral adhesions and select a safe puncture route. The portion of the small intestine that was fixed to the anterior abdominal wall was sonographically identified by using a high-frequency transducer to locate the area of restricted visceral sliding. The needle was then inserted into the intestine. In 3 cases, we have found that this technique improves the confidence of the physicians who perform the percutaneous drainage and may help to minimize the risks associated with the percutaneous drainage.