https://scholars.lib.ntu.edu.tw/handle/123456789/546043
標題: | Perioperative gastroesophageal regurgitation in patients with elevated abdominal pressure with nasogastric tubes? A simulation model based on esophageal multichannel intraluminal impedance and pH monitoring | 作者: | Lai C.-J. WEN-CHUN CHANG CHI-HSIANG HUANG Hsiao C.-F. YA-JUNG CHENG |
關鍵字: | Gastroesophageal regurgitation; Laparoscopic pneumoperitoneum and trendelenburg positioning; Multichannel intraluminal impedance and pH monitoring; Obesity | 公開日期: | 2020 | 出版社: | Elsevier B.V. | 卷: | 119 | 期: | 9 | 起(迄)頁: | 1435-1438 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | Increased abdominal pressure is common in obese patients and predisposes them to gastroesophageal regurgitation (GER). To drain GER and prevent aspiration, nasogastric (NG) tubes are frequently inserted in obese patients undergoing general anesthesia. However, whether gastric drainage actually decreases the occurrence of GER remains to be elucidated. In this study, increased abdominal pressure was simulated with laparoscopic pneumoperitoneum and Trendelenburg (LPT) positioning, while the retained NG tube was replaced by a pre-inserted esophageal multichannel intraluminal and pH (MII-pH) monitoring. Fifteen patients undergoing elective gynecologic laparoscopy were enrolled in this study. Thirteen patients (86%) developed GER while in the LPT position. With the high occurrence of GER, pre-inserted NG tubes under general anesthesia are not likely to be protective in obese patients. ? 2020 |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85081649797&doi=10.1016%2fj.jfma.2020.02.013&partnerID=40&md5=322906aa36279388f2d80ec2d138dc83 https://scholars.lib.ntu.edu.tw/handle/123456789/546043 |
ISSN: | 0929-6646 | DOI: | 10.1016/j.jfma.2020.02.013 | SDG/關鍵字: | abdominal pressure; adult; Article; aspiration; body position; clinical article; controlled study; esophageal pH monitoring; gastroesophageal reflux; general anesthesia; human; laparoscopy; obese patient; perioperative period; randomized controlled trial; simulation; complication; esophageal pH monitoring; female; gastroesophageal reflux; gynecologic surgery; impedance; obesity; patient positioning; pH; pressure; Electric Impedance; Esophageal pH Monitoring; Female; Gastroesophageal Reflux; Gynecologic Surgical Procedures; Humans; Hydrogen-Ion Concentration; Laparoscopy; Obesity; Patient Positioning; Perioperative Period; Pressure |
顯示於: | 醫學系 |
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