Treatment with the ERMISCHE PROBE 2.0 is essential for patients suffering from an acute small bowel obstruction. Without targeted Ermisch probe treatment, patients are at significant risk of life-threatening health issues, such as strangulation, perforation of the gut and sepsis. These complications can result in a significant worsening of quality of life and pose an increased risk of mortality.
By using the Ermisch probe, practitioners can decompress the small intestine quickly and effectively. This significantly reduces the risk of the complications described above and in many cases can help prevent the need for invasive surgeries. Therapy using the Ermisch probe has consequently proven to be a life-saving procedure that not only ensures the immediate survival of patients, but also minimises the long-term damage to their health.
The critical condition of patients with an acute small bowel obstruction can be documented through objectifiable findings such as X-rays, CT scans and clinical symptoms like pain, vomiting and distension of the abdomen. While specific scoring systems do exist for assessing the degree of severity of a bowel obstruction, use of the Ermisch probe is an intra-operative decision only which is always determined by the extent of the obstruction diagnosed and the expertise of the surgeon.
Overall, therapy with the ERMISCH PROBE 2.0 can significantly reduce health risks and mortality rate among patients with a small bowel obstruction and makes a vital difference to improving quality of life.
The anaesthetist inserts the probe using a laryngoscope. The anaesthetist may encounter slight resistance when passing the pharyngo-oesophageal junction.
The abdomen is opened via the subumbilical midline incision which is expanded by around 5 cm to the left of the navel in order to ensure best possible visibility of the pylorus, duodenum and, in particular, the ligament of Treitz.
The anaesthetist inserts the probe using a laryngoscope. The anaesthetist may encounter slight resistance when passing the pharyngo-oesophageal junction.
The surgeon standing on the left first receives the probe in the stomach and fixes it in place so that the anaesthetist can remove the mandrin.
The surgeon pushes the head of the probe through the pylorus and the duodenal curve into the retroperitoneal section of the duodenum.
After passing up through the transverse mesocolon, the probe head can be felt and led around the ligament of Treitz into the jejunum.
A free probe tube must remain in the stomach at all times while manoeuvring the probe. To perform decompression, the probe is first pushed forward into the jejunum and the proximal ileum.
Criteria for the indication of complete plication of the small intestine should be strict and dependent on the discovery of a bowel obstruction.
Once the procedure has been completed, the probe, which is primarily fed in orally, is withdrawn trans-nasally using a tracheal catheter inserted trans-nasally.