Decompression of the small bowel by endoscopic long-tube placement

Figure 1 Endoscopic progress of a long-tube insertion. A: The guidewire was grasped with biopsy forceps and the scope and tube were passed through the pylorus to reach the duodenojejunal flexure; B: The anterior balloon was inflated to engage the wall of the bowel; C: The guidewire was released and the scope was withdrawn while maintaining the long tube in the small bowel.

Figure 2 Abdominal flat plate images after long tube insertion. A: Location of the long tube; B: Jejunum after ingestion of contrast medium through the long tube; C: Ileum; D: Colon, showing complete relief of the small bowel obstruction after insertion of the long tube.