Search tips
Search criteria 


Logo of jrsocmedLink to Publisher's site
J R Soc Med. 1997 March; 90(3): 132–135.
PMCID: PMC1296176

Intraluminal stenting in the management of adhesional intestinal obstruction.


Intraluminal stenting of the small bowel has been advocated as a method of reducing the risk of recurrent adhesional obstruction in patients requiring adhesolysis. We reviewed the complications and efficacy of this technique in 25 patients undergoing surgery for relief of intestinal obstruction due to complex, extensive and dense adhesions. Five patients developed minor and three patients major complications. Three (13%) of 23 patients alive after mean follow-up of 4 years had had episodes of recurrent intestinal obstruction, but none had required reoperation. Intraluminal stenting remains of unproven efficacy. It may find a place as an adjunct to adhesolysis in patients requiring repeated operations for the relief of obstruction due to extensive and dense adhesions; but, in view of the high rate of complications, careful case selection will be necessary.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (571K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • McEntee G, Pender D, Mulvin D, McCullough M, Naeeder S, Farah S, Badurdeen MS, Ferraro V, Cham C, Gillham N, et al. Current spectrum of intestinal obstruction. Br J Surg. 1987 Nov;74(11):976–980. [PubMed]
  • Bevan PG. Adhesive obstruction. Ann R Coll Surg Engl. 1984 May;66(3):164–169. [PMC free article] [PubMed]
  • WHITE RR. Prevention of recurrent small bowel obstruction due to adhesions. Ann Surg. 1956 May;143(5):714–719. [PubMed]
  • Munro A, Jones PF. Operative intubation in the treatment of complicated small bowel obstruction. Br J Surg. 1978 Feb;65(2):123–127. [PubMed]
  • Brightwell NL, McFee AS, Aust JB. Bowel obstruction and the long tube stent. Arch Surg. 1977 Apr;112(4):505–511. [PubMed]
  • Close MB, Christensen NM. Transmesenteric small bowel plication or intraluminal tube stenting. Indications and contraindications. Am J Surg. 1979 Jul;138(1):89–96. [PubMed]
  • CHILDS WA, PHILLIPS RB. Experience with intestinal plication and a proposed modification. Ann Surg. 1960 Aug;152:258–265. [PubMed]
  • WILSON ND. COMPLICATIONS OF THE NOBLE PROCEDURE. Am J Surg. 1964 Aug;108:264–269. [PubMed]
  • Jones PF, Munro A. Recurrent adhesive small bowel obstruction. World J Surg. 1985 Dec;9(6):868–875. [PubMed]
  • Weigelt JA, Snyder WH, 3rd, Norman JL. Complications and results of 160 Baker tube plications. Am J Surg. 1980 Dec;140(6):810–815. [PubMed]
  • Rodriguez-Ruesga R, Meagher AP, Wolff BG. Twelve-year experience with the long intestinal tube. World J Surg. 1995 Jul-Aug;19(4):627–631. [PubMed]
  • Chilimindris CP, Stonesifer GL., Jr Complications associated with the Baker tube jejunostomy. Am Surg. 1978 Nov;44(11):707–711. [PubMed]
  • Watson CJ, Everett WG. Intussusception complicating the use of a Jones tube. J R Coll Surg Edinb. 1990 Apr;35(2):110–110. [PubMed]
  • Robbins RD, Hayes SR, Thow GB. Long-tube gastrostomy with internal intestinal splinting: ten-year experience. Dis Colon Rectum. 1980 Jan-Feb;23(1):10–16. [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press