case_images: PMC11329917_01
case_images: Blood seeped because of long-time friction and attraction by the colonoscope. The tip of the TET tube was inserted passing through the colonic angulation (green arrow).. TET, transendoscopic enteral tubing.
case_images: 10.1177_26317745241270568-fig1.jpg
case_images: PMC11329917_01_10.1177_26317745241270568-fig1.jpg
case_images: fig1-26317745241270568
case_images: The distal end of the tube was advanced through the colonic angulation approximately 45 cm from the anus (Figure 1). The colonoscope was then withdrawn while leaving the TET tube in place within the colon.
case_images: An endoclip (green arrow) was utilized to secure the second loop (blue arrow) of the TET tube to the colonic mucosa near the angulation.. TET, transendoscopic enteral tubing.
case_images: 10.1177_26317745241270568-fig2.jpg
case_images: PMC11329917_01_10.1177_26317745241270568-fig2.jpg
case_images: fig2-26317745241270568
case_images: TET tube was secured to the colonic mucosa near the colonic angulation using an endoclip (ROCC-D-26-230-C, Micro-Tech, Nanjing, China) (Figure 2). The structure of the TET tube is depicted in Figure 3.
case_images: The structure of the colonic TET tube consists of two parts. The main part of the tube is indicated by the red arrow, measuring 1350 mm in length with a diameter of 2.7 mm, and featuring three loops at its terminal end (green arrow), which can be fixed to the colonic mucosa using endoclips. The temporarily connected extended part of the tube is shown by blue arrow, providing convenience for exchange.. TET, transendoscopic enteral tubing.
case_images: 10.1177_26317745241270568-fig3.jpg
case_images: PMC11329917_01_10.1177_26317745241270568-fig3.jpg
case_images: fig3-26317745241270568
case_images: TET tube was secured to the colonic mucosa near the colonic angulation using an endoclip (ROCC-D-26-230-C, Micro-Tech, Nanjing, China) (Figure 2). The structure of the TET tube is depicted in Figure 3.
case_images: X-ray imaging revealed tortuosity of the TET tube in left abdomen region. The location where an endoclip was placed indicates a sharp flexure where colonoscopy could not pass through (green arrow).. TET, transendoscopic enteral tubing.
case_images: 10.1177_26317745241270568-fig4.jpg
case_images: PMC11329917_01_10.1177_26317745241270568-fig4.jpg
case_images: fig4-26317745241270568
case_images: TET tube in the left abdomen corresponding to the distribution of descending colon. The visualized endoclip in the film indicated the location of sharp flexure impeding passage during colonoscopy evaluation (Figure 4).
case_images: Retrograde colon imaging via the colonic TET tube demonstrated well-developed entire colon and terminal ileum (blue arrow).. TET, transendoscopic enteral tubing.
case_images: 10.1177_26317745241270568-fig5.jpg
case_images: PMC11329917_01_10.1177_26317745241270568-fig5.jpg
case_images: fig5-26317745241270568
case_images: Descending colon exhibited obvious tortuosity and elongation resembling an N-type folding pattern (Figures 5 and 6).
case_images: The descending colon exhibited obvious tortuosity and elongation, resembling an N-type fold.
case_images: 10.1177_26317745241270568-fig6.jpg
case_images: PMC11329917_01_10.1177_26317745241270568-fig6.jpg
case_images: fig6-26317745241270568
case_images: Descending colon exhibited obvious tortuosity and elongation resembling an N-type folding pattern (Figures 5 and 6).