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

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

Research output: Contribution to journalArticle

38 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)2571-2575
Number of pages5
JournalSurgical Endoscopy
Volume22
Issue number12
DOIs
StatePublished - Dec 2008

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Weight Lifting
Vomiting
Pressure
Catheters
Manometry
Urinary Catheters
Peritoneal Cavity
Postoperative Period
Stomach
Healthy Volunteers

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

A study of intragastric and intravesicular pressure changes during rest, coughing, weight lifting, retching, and vomiting. / Iqbal, Atif; Haider, Mumnoon; Stadlhuber, Rudolf J.; Karu, Anouki; Corkill, Sue; Filipi, Charles.

In: Surgical Endoscopy, Vol. 22, No. 12, 12.2008, p. 2571-2575.

Research output: Contribution to journalArticle

Iqbal, Atif ; Haider, Mumnoon ; Stadlhuber, Rudolf J. ; Karu, Anouki ; Corkill, Sue ; Filipi, Charles. / A study of intragastric and intravesicular pressure changes during rest, coughing, weight lifting, retching, and vomiting. In: Surgical Endoscopy. 2008 ; Vol. 22, No. 12. pp. 2571-2575.
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