Document Detail

A study of intragastric and intravesicular pressure changes during rest, coughing, weight lifting, retching, and vomiting.
MedLine Citation:
PMID:  18810545     Owner:  NLM     Status:  MEDLINE    
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.
Atif Iqbal; Mumnoon Haider; Rudolf J Stadlhuber; Anouki Karu; Sue Corkill; Charles J Filipi
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-09-23
Journal Detail:
Title:  Surgical endoscopy     Volume:  22     ISSN:  1432-2218     ISO Abbreviation:  Surg Endosc     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-11-17     Completed Date:  2009-02-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8806653     Medline TA:  Surg Endosc     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  2571-5     Citation Subset:  IM    
Department of Surgery, University of Missouri Columbia, One Hospital Drive, Columbia, MO 65212, USA.
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MeSH Terms
Compartment Syndromes / physiopathology
Cough / physiopathology*
Ipecac / toxicity
Manometry / methods
Reference Values
Rest / physiology*
Stress, Mechanical*
Surgical Procedures, Operative / contraindications
Surgical Wound Dehiscence / prevention & control
Urinary Bladder*
Vomiting / chemically induced,  physiopathology*
Weight Lifting / physiology*
Young Adult
Reg. No./Substance:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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