HOW MUCH DOES THE INTRA-ABDOMINAL PRESSURE VARY BY NASOGASTRIC DECOMPRESSION IN PATIENTS WITH INTESTINAL OBSTRUCTION???
DebabrataSingha
, G. Sankamithra
, Eden Sinha
, Preetam Kumar Das
, NareshPawar
and Suvajyotichakraborty.
- Abstract
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- Cite This Article as
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Introduction:We follow the age-old teaching of inserting nasogastric tube to decompress the stomach and reduce intra-abdominal pressure whenever a patient comes to us with intestinal obstruction. But how much does this decrease the raised intra-abdominal pressure is hardly known and evidence based. So in this study we attempt to find the difference in intra-abdominal pressure that occurs by insertion of nasogastric tube and decompression. Aims and objectives:To find the difference in intra-abdominal pressure on insertion of nasogastric tube and decompression in patients with intestinal obstruction. Method of study: Interventional study. 75 patients with intestinal obstruction who presented to emergency department of Silchar Medical College and Hospital were included in the study. Patient who had no vomiting in the last 2 hours before presentation were only included for this study. Intra-abdominal pressure was measured via Foley’s catheter method before and after insertion of nasogastric tube and decompression. Results were obtained based on the difference in intra-abdominal pressure and percentage variation. Conclusion:From this study we found that insertion of nasogastric tube in emergency department in patients with intestinal obstruction reduces the intra-abdominal pressure by 2.81mmHg (mean of 75 patients) in short time even when no other intervention has been carried to reduce the intra-abdominal pressure before operation. On an average there was 18.18% reduction of IAP after nasogastric decompression.
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[DebabrataSingha, G. Sankamithra, Eden Sinha, Preetam Kumar Das, NareshPawar and Suvajyotichakraborty. (2017); HOW MUCH DOES THE INTRA-ABDOMINAL PRESSURE VARY BY NASOGASTRIC DECOMPRESSION IN PATIENTS WITH INTESTINAL OBSTRUCTION??? Int. J. of Adv. Res. 5 (Jan). 2265-2269] (ISSN 2320-5407). www.journalijar.com
Silchar Medical College and Hospital
