Meissner K
Langenbecks Arch Chir. 1978 Nov;347:425-8. doi: 10.1007/BF01579371.
Paralytic distension is a causative or important factor in the pathogenesis of early postoperative intestinal obstruction. The elimination of intestinal distension initiates a decisive change in the course of this disease. The long intestinal tube--comparable to an "intraluminary stoma"--renders the necessary intestinal decompression. The controlled placement of the tube using a gastroscope rules out technical problems. The procedure is highly effective, contributes to the reduction of relaparotomies, and avoids enterotomies with all their inherent risks in the state of ileus.
麻痹性肠梗阻是术后早期肠梗阻发病机制中的一个致病因素或重要因素。消除肠扩张可引发该病病程的决定性变化。长肠管——类似于“腔内造口”——可实现必要的肠道减压。使用胃镜控制放置肠管可排除技术问题。该手术非常有效,有助于减少再次剖腹手术,并避免在肠梗阻状态下进行肠切开术及其所有固有风险。