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

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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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Acknowledgments

The authors would like to thank Sue Corkell, R.N., our volunteers, and all the staff at the Esophageal Center at Creighton University School of Medicine for their help in obtaining and quantifying the data presented.

Grant support: Ethicon Endo-Surgery, 4545 Creek Road, Cincinnati, Ohio 45242-7000, USA.

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Authors and Affiliations

  1. Department of Surgery, University of Missouri Columbia, One Hospital Drive, Columbia, MO, 65212, USA

    Atif Iqbal

  2. Department of Medicine, Grand Rapids Medical Education and Research Center, Grand Rapids, MI, 49503, USA

    Mumnoon Haider

  3. Esophageal Center, Division of General Surgery, Department of Surgery, Creighton University Medical Center, 601 North 30th Street, #3700, Omaha, NE, 68131, USA

    Rudolf J. Stadlhuber, Anouki Karu, Sue Corkill & Charles J. Filipi

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  1. Atif Iqbal
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  2. Mumnoon Haider
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  3. Rudolf J. Stadlhuber
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  4. Anouki Karu
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  5. Sue Corkill
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  6. Charles J. Filipi
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Corresponding author

Correspondence to Charles J. Filipi.

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Iqbal, A., Haider, M., Stadlhuber, R.J. et al. A study of intragastric and intravesicular pressure changes during rest, coughing, weight lifting, retching, and vomiting. Surg Endosc 22, 2571–2575 (2008). https://doi.org/10.1007/s00464-008-0080-0

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  • DOI: https://doi.org/10.1007/s00464-008-0080-0

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