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Retrospective Cohort Study
Copyright ©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jan 27, 2026; 18(1): 112927
Published online Jan 27, 2026. doi: 10.4240/wjgs.v18.i1.112927
Application of a novel small intestine decompression method in patients with intestinal obstruction: A retrospective cohort study
Qi Zhang, Xiao-Hu He, Xin Liu, Xin-Jian Ling, Ya-Ming Zhang
Qi Zhang, Xiao-Hu He, Xin-Jian Ling, Ya-Ming Zhang, Department of General Surgery, Anqing Municipal Hospital, Anqing 246000, Anhui Province, China
Xin Liu, Department of Gastroenterology, Anqing Municipal Hospital, Anqing 246000, Anhui Province, China
Author contributions: Zhang Q, He XH and Liu X wrote the main manuscript text; Ling XJ prepared the tables; Zhang YM revised the manuscript; all the authors reviewed the manuscript.
Supported by Wannan Medical College, No. WK2023JXYY025.
Institutional review board statement: The study was reviewed and approved by the Ethics Committee of Anqing Municipal Hospital.
Informed consent statement: Informed written consent was obtained from the patients for publication of this report and any accompanying images.
Conflict-of-interest statement: All authors declare no conflict of interest in publishing the manuscript.
STROBE statement: The authors have read the STROBE Statement – checklist of items, and the manuscript was prepared and revised according to the STROBE Statement – checklist of items.
Data sharing statement: The original contributions presented in the study are included in the article/Supplementary material. Further inquiries can be directed to the corresponding author.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ya-Ming Zhang, MD, PhD, Chief Physician, Professor, Department of General Surgery, Anqing Municipal Hospital, No. 352 Renmin Road, Anqing 246000, Anhui Province, China. zhangyaming2014@163.com
Received: August 11, 2025
Revised: October 23, 2025
Accepted: November 26, 2025
Published online: January 27, 2026
Processing time: 165 Days and 1.3 Hours
Core Tip

Core Tip: This study introduces a standardized closed negative-pressure double-cannula technique for intraoperative decompression in small bowel obstruction. Compared to conventional enterotomy, this method was associated with a significantly cleaner surgical field (86.5% vs 63.6% without contamination), greater efficiency (median reduction of 6 minutes in decompression time and 30 minutes in total operation time), and enhanced patient recovery, including a lower surgical site infection rate (10.8% vs 30.3%) and a shorter hospital stay.