Intestinal obstruction is an obstacle to the normal operation and passage of intestinal contents, and is one of the common acute abdominal diseases in surgery. Our general surgery department introduces the technology of minimally invasive treatment of intestinal obstruction by catheter, and combines with traditional Chinese medicine to complement each other, proposing the minimally invasive treatment mode of intestinal obstruction by combining Chinese and Western medicine. It has the characteristics of short treatment period, quick effect and little trauma, which fills the blank in our province.
The catheter for intestinal obstruction originated from Japan and has been carried out in China since 2004. The principle is to insert the catheter into the obstructed area and perform direct decompression and suction on the intestinal contents above the obstruction. The catheter is 3 m long and is made of medical silicone rubber with excellent biocompatibility. It is placed into the small intestine via fluoroscopy or via gastroscopy. Effective intestinal decompression and drug infusion were performed.
Preoperatively, a stepped gas-fluid flat was seen 24 hours after drainage, and the gas-fluid flat disappeared Advantages of intestinal obstruction catheter combined with Chinese medicine for the treatment of intestinal obstruction (1) The advancing process of intestinal obstruction catheter acts as a heavy hammer traction, and is rich in flexibility, so it is easy to slip off even when encountering intestinal curvature and intestinal folds, and it is easy to reach the distal intestine.
(2)The side hole setting of the intestinal obstruction catheter can attract the intestinal contents before and after the balloon and effectively reduce the intestinal pressure.
(3)The length of intestinal obstruction catheter can reach 300-10000px, which can decompress the whole digestive tract. Reduce intestinal wall edema.
(4)Effective use of functional intestinal tube, early enteral nutrition, avoiding complications of single parenteral nutrition, creating conditions for later definitive surgery and reducing complications.
(5) Gastrointestinal imaging via catheter to determine the location of obstruction, imaging diagnosis, and timely surgery to avoid blind conservative treatment and delayed treatment.
(6) Infusion of Chinese medicine and Chinese medicine enema through catheter, avoiding the stimulation of stomach and acting directly on intestine, giving full play to the advantages of traditional Chinese medicine treatment.
Traditional Chinese medicine treatment of intestinal obstruction is mainly based on the treatment of Tongli and attacking the lower part of the body, clearing heat and detoxification, regulating Qi and opening depression, combined with acupuncture, Chinese medicine enema, Chinese medicine package hot compress and other treatment methods. It is suitable for the treatment of various types of intestinal obstruction.