Evidence map›Paper›PMID 41131382›Full record

ArticleSurgical endoscopy2026

Operational key points of super-low placement of an intestinal decompression tube and its clinical efficacy in elderly patients with incomplete small bowel obstruction.

Cai-Qin Lin, Ling-Li Pan, Yu Cheng, Sun-Jian Wang, Ju-Li Lin

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Cai-Qin Lin *Department of Nursing, Fujian Medical University Union Hospital, Fuzhou, Fujian Province, China.
Ling-Li Pan *Department of Anesthesiology, Fujian Medical University Union Hospital, Fuzhou, Fujian Province, China.
Yu ChengDepartment of Pharmacy, Fujian Medical University Union Hospital, Fuzhou, Fujian Province, China.
Sun-Jian WangDepartment of Radiology, Fujian Medical University Union Hospital, Fuzhou, Fujian Province, China. wangsunjian2021@163.com.
Ju-Li LinDepartment of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian Province, China. 9201615069@fjmu.edu.cn.ORCID 0000-0002-6518-9372

Funding

Fujian Medical University Qihang Fund Project 2023QH1038Joint Funds for the innovation of science and Technology, Fujian province 2021Y9038Startup Fund for Scientific Research, Fujian Medical University 2024QH1027
6 · The paper itself

Abstract

objectiveTo summarize the key operational points for super-low placement of intestinal decompression tubes and compare the short-term outcomes between super-low placement and traditional placement in elderly patients with incomplete small bowel obstruction.

methodsSeventy-eight elderly patients (aged ≥ 60 years) with incomplete small bowel obstruction following abdominal surgery admitted to Fujian Medical University Union Hospital between January 2014 and December 2024 were retrospectively enrolled. The super-low group comprised 55 patients treated with the super-low placement of an intestinal decompression tube. The traditional group comprised 23 patients treated with the traditional placement of intestinal decompression tubes. Short-term outcomes were compared between the two groups.

resultsThe key operational points for super-low placement of the intestinal decompression tube involve three steps: (1) simultaneous insertion of the catheter and guidewire through the cardia; (2) advancement of the guidewire as deeply as possible; and (3) advancement of the catheter over the guidewire. No significant differences were observed in the baseline clinical characteristics between the two groups. The conservative treatment success rate was significantly greater in the super-low group than in the traditional group (89.1% vs. 69.6%, P = 0.035). The postplacement hospital stay was significantly shorter in the super-low group (7.8 ± 4.0 days vs. 16.1 ± 10.6 days, P < 0.001). Compared with the traditional group, the super-low group also demonstrated significantly shorter times to abdominal symptom relief (2.7 ± 2.3 days vs. 5.4 ± 5.0 days, P < 0.001) and time to resumption of flatus/defecation (4.6 ± 3.3 days vs. 8.1 ± 5.3 days, P = 0.005).

conclusionThree key operational points for the super-low placement of intestinal decompression tubes were identified to facilitate learning and dissemination. Super-low placement improved the success rate of conservative treatment and reduced the length of hospital stay in elderly patients with incomplete small bowel obstruction.

Indexed as

Decompression, SurgicalIntestinal ObstructionIntestine, SmallIntubation, GastrointestinalPostoperative ComplicationsAgedAged, 80 and overFemaleHumansLength of StayMaleMiddle AgedRetrospective StudiesTreatment OutcomeElderly patientsIncomplete small bowel obstructionLength of hospital stayOperational key pointsSuper-low placement of an intestinal decompression tube

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.