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Surgical Endoscopy

Published in:

01-12-2008

A study of intragastric and intravesicular pressure changes during rest, coughing, weight lifting, retching, and vomiting

Authors: Atif Iqbal, Mumnoon Haider, Rudolf J. Stadlhuber, Anouki Karu, Sue Corkill, Charles J. Filipi

Published in: Surgical Endoscopy | Issue 12/2008

Abstract

Background

In patients undergoing a variety of procedures, surgical success is in part dependent on maintaining normal intra-abdominal pressure in the immediate postoperative period. Our objective was to quantify intragastric and intravesicular pressures during activities, through the use of manometry catheters.

Methods

Ten healthy volunteers had a manometry catheter placed transnasally, and a urinary Foley catheter placed. Baseline intragastric and intravesicular pressures were recorded and the catheters were then transduced continuously. Pressures were recorded with activity: coughing, lifting weights, retching (dry heaving), and vomiting.

Results

All pressure changes were significant from baseline except for weight lifting. The highest intragastric pressure was 290 mmHg, seen during vomiting. Comparison of intragastric and intravesicular pressures showed no significant difference. There was significantly higher intragastric pressure with vomiting and retching as compared with coughing, whereas coughing applied more pressure than weight lifting.

Conclusions

This is the first report of intragastric pressures during vomiting and retching (dry heaving). We conclude that vomiting and retching (dry heaving) can render significant forces on any tissue apposition within the stomach or the peritoneal cavity.

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Title: A study of intragastric and intravesicular pressure changes during rest, coughing, weight lifting, retching, and vomiting
Authors: Atif Iqbal
Mumnoon Haider
Rudolf J. Stadlhuber
Anouki Karu
Sue Corkill
Charles J. Filipi
Publication date: 01-12-2008
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 12/2008
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-008-0080-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A study of intragastric and intravesicular pressure changes during rest, coughing, weight lifting, retching, and vomiting

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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