The first management using intubation of a nasogastric tube with Gastrografin enterography or long tube for non-strangul
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ORIGINAL ARTICLE–ALIMENTARY TRACT
The first management using intubation of a nasogastric tube with Gastrografin enterography or long tube for non-strangulated acute small bowel obstruction: a multicenter, randomized controlled trial Takahito Katano1 • Takaya Shimura1 • Hirotada Nishie1 • Tomohiro Iwai2 • Keisuke Itoh3 • Masahide Ebi4 • Yusuke Mizuno5 • Shozo Togawa6 • Shunsuke Shibata2 • Tomonori Yamada5 • Takashi Mizushima7 • Yusuke Inagaki8 Mika Kitagawa3 • Yu Nojiri1 • Yoshito Tanaka3 • Yasuyuki Okamoto1 • Miyuki Sugiura6 • Sho Matoya2 • Yoshihito Nagura2 • Yuki Inagaki2 • Hiroki Koguchi9 • Satoshi Ono4,10 • Keiji Ozeki1 • Noriyuki Hayashi1 • Shuji Takiguchi11 • Hiromi Kataoka1
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Received: 27 April 2020 / Accepted: 17 June 2020 Ó Japanese Society of Gastroenterology 2020
Abstract Background Gastrointestinal decompression is generally applied to a non-strangulated acute small bowel obstruction (NSASBO). Although long tube (LT) placement and administration of Gastrografin through a nasogastric tube Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00535-020-01708-5) contains supplementary material, which is available to authorized users. & Takaya Shimura [email protected] 1
Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya 467-8601, Japan
2
Department of Gastroenterology, Toyokawa City Hospital, 23 Noji, Yahata, Toyokawa 442-8561, Japan
3
Department of Gastroenterology, Nagoya City East Medical Center, 1-2-23 Wakamizu, Chikusa-ku, Nagoya 464-8547, Japan
4
Department of Gastroenterology, Aichi Medical University, 1-1 Karimata, Iwasaku, Nagakute 480-1195, Japan
5
Department of Gastroenterology, Japanese Red Cross Nagoya Daini Hospital, 2-9 Myoken-cho, Showa-ku, Nagoya 466-0814, Japan
6
Department of Gastroenterology, Nagoya Memorial Hospital, 4-305 Hirabari, Tenpaku-ku, Nagoya 468-8520, Japan
7
Department of Gastroenterology, Gifu Prefectural Tajimi Hospital, 5-161 Maehata, Tajimi 507-8522, Japan
(NGT-G) have shown advantages over NGT alone in previous studies, no studies appear to have compared LT and NGT-G. Methods In this multicenter, randomized controlled trial, patients with NSASBO were randomly assigned to receive LT or NGT-G between July 2016 and November 2018 at 11 Japanese institutions. The primary endpoint was noninferiority of NGT-G compared to LT for non-surgery rate, and the lower limit of the 95% confidence interval for the 8
Department of Gastroenterology, Gamagori City Hospital, 11 Mukaida, Hirata-cho, Gamagori 443-8501, Japan
9
Department of Gastroenterology, Chukyo Hospital, 1-1-10 Sanjyo, Minami-ku, Nagoya 457-8510, Japan
10
Department of Gastroenterology, Nagoya City West Medical Center, 1-1-1 Hirate, Kita-ku, Nagoya 462-8508, Japan
11
Department of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya 467-8601, Japan
123
J Gastroenterol
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