Safety and Efficacy of Nasogastric Tube Placement Prior to Long Tube Placement for the Conservative Management of Adhesive Small Bowel Obstruction: A Retrospective Analysis
Sakuya Katakai, Kengo Kasuga, Tatsuya Kouga, Ayaki Isshiki, Ayako Matsui, Keisuke Iizuka, Shingo Ishihara, Takashi Ueno, Xing Hua Ma, Takashige Masuo, Yoji Takeuchi, Toshio Uraoka · 2026
Read Safety and Efficacy of Nasogastric Tube Placement Prior to Long Tube Placement for the Conservative Management of Adhesive Small Bowel Obstruction: A Retrospective Analysis by Sakuya Katakai, Kengo Kasuga, Tatsuya Kouga, Ayaki Isshiki, Ayako Matsui, Keisuke Iizuka, Shingo Ishihara, Takashi Ueno, Xing Hua Ma, Takashige Masuo, Yoji Takeuchi, Toshio Uraoka (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13423450.txt.
Description
Sakuya Katakai leads a twelve-author review of a stepped tube strategy for adhesive small bowel obstruction, where scar tissue blocks the gut without cutting off its blood supply. Long intestinal tubes lower surgery rates but are invasive and hard for frail patients to tolerate. The team therefore asked whether starting with a simple nasal stomach tube loses anything. Under their stepped plan, a long tube follows only when needed.
Across 337 admissions from 2019 to 2023, 135 began with the simple tube and 63 later moved to a long tube. Those patients were older and frailer, yet their surgery rate, stay, and deaths matched direct long-tube cases. Long tube placement also ran faster after simple drainage first, at 18 against 24 minutes.
Catalog record
| CREATOR | Sakuya Katakai, Kengo Kasuga, Tatsuya Kouga, Ayaki Isshiki, Ayako Matsui, Keisuke Iizuka, Shingo Ishihara, Takashi Ueno, Xing Hua Ma, Takashige Masuo, Yoji Takeuchi, Toshio Uraoka |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 33987 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |