Randomized control trial on long-intestinal-tube insertion with the ropeway method facilitated by a guidewire placed by transnasal ultrathin endoscopy for bowel obstruction

Randomized control trial on long-intestinal-tube insertion with the ropeway method facilitated by a guidewire placed by transnasal ultrathin endoscopy for bowel obstruction - Randomized control trial on long-intestinal-tube insertion with the ropeway method facilitated by a guidewire placed by transnasal ultrathin endoscopy for bowel obstruction

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

JPRN

Registry ID

JPRN-UMIN000001314

Enrollment

Registered

2008-08-15

Start date

2008-05-01

Completion date

Unknown

Last updated

2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

small bowel obstruction

Interventions

ILTR (Intervention group): For local anesthesia, application of a nose drop of naphazolone nitrate and spraying of a mixture of 4% lidocain and 0.1% epinephrine solution (9:1) to the nostrils were p

Olympus, Tokyo, Japan) was inserted transnasally with the patient in the left lateral decubitus position. For insertion of the long tube, the patient was kept in the supine position. After aspiration

Boston Scientific, U.S.A) was then inserted via the working channel of the scope into the small bowel beyond the duodenojejunal flexure, which was confirmed fluoroscopically. The scope was withdrawn w

Create Medic, Tokyo, Japan) to the most distal side hole (4 cm from the tip). In order to reduce patient pain and friction between the tube and its pathway, lidocain jelly was applied to the tube, and

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: patients who had been diagnosed as suffering from bowel obstruction requiring decompression with a long tube placement

Exclusion criteria

Exclusion criteria: (1) those who had undergone previous gastrectomy, (2) those with contraindications for placement of a long tube such as previous otorhinolaryngological or esophageal diseases, (3) class IV patients as defined by the American Society of Anesthesiologists, (4) pregnant patients, (5) those younger than 18 years of age, and (6) those with a possible risk of aspiration during the procedure.

Design outcomes

Primary

Measure	Time frame
the time required by the procedure until the long tube passed through the duodenojejunal flexure in successful cases	—

Secondary

Measure	Time frame
the success rate, the total procedure time, the total X-ray exposure time, the intensity of patient distress on a visual analogue scale of 1 to 5, and complications	—

Countries

Japan

Contacts

Public ContactYoshihide Kanno

Sendai City Medical Center Department of Gastroenterology

022-252-1111

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026