BACKGROUND The i-gel provides good airway sealing but gastric insufflation may occur when peak inspiratory pressure (PIP) exceeds the sealing pressure of the i-gel without a gastric tube. Pressure-controlled ventilation (PCV) provides lower PIP compared with volume-controlled ventilation (VCV) and low PIP may reduce the incidence of gastric insufflation in children during positive pressure vent...

A 71 year old man underwent retrosternal gastric tube reconstruction following transhiatal oesophagectomy for squamous cell carcinoma. On the second post-operative day, the patient developed a cardiac arythmia with secondary hypotension followed by hypoxaemia necessitating artificial ventilation. Two weeks after surgery, endoscopy revealed massive necrosis of the proximal segment of the gastric...

Percutaneous endoscopic gastrostomy (PEG) tube placement is a common and safe procedure. We present a rare case of PEG tube placement complicated by visceral pseudoaneurysm formation with associated recurrent hemorrhage. A 71-year-old obese male on chronic anticoagulation presented with a cerebral hemorrhage. He ultimately underwent PEG tube placement with the “pull” technique. Over the subsequ...

Objective- In this study, the general anatomical features of the digestive tube and the transit time of the digestive tube of the Zarudni’s spur-thighed tortoises were examined by contrast radiology. Design - Experimental study. Animals - 4 adult female Zarudni’s Spur-thighed Tortoises (Testudo graeca zarudnyi). Procedures- At a temperature of 25-27°c a set of dorsoventral rad...

The lower end of the oesophagus is a region where the pathology, the physiology, and even the anatomy are not quite clear. This paper attempts to dispel some of the confusion. WHERE IS THE OESOPHAGO-GASTRIC JUNCTION ? The oesophagus or gullet is the tube which conducts food from the throat to the stomach, and the stomach is the pouch in which food collects and undergoes the initial stages of di...

Blind placement of gastric tubes is commonly done at the bedside, and is associated with significant risk. Inadvertent placement of gastric tubes into the lungs may lead to some dreaded and serious complications including intrapulmonary infusion of fluids, pneumothorax, pneumonitis, hydropneumothorax, bronchopleural fistula, empyema, and pulmonary hemorrhage. Although the reported frequency of ...

Recent studies indicate that l-glutamate (l-Glu), abundant in many foods, is a stimulator of gastric vagal afferent nerves. The aim of the present study was to examine the possibility that l-Glu supplementation of a protein-rich liquid diet may prevent the incidence of diarrhoea during repetitive intra-gastric tube feeding. The gastric vagal afferent nerve recording of rats indicated that intra...

The patient was a 55-year-old male alcoholic who presented with bleeding oesophageal varices. During the course of management a SengstakenBlakemore tube was passed and inflated with a Gastrografin and saline solution.1 2 The position of the tube was checked radiologically. Despite sedation the patient was restless and succeeded in pulling the tube so that the oesophageal balloon was partly out ...

.Yamaguchi Med J (Yamaguchi Igaku)53:103-107,200433) Motoyama S,Mori K,Maruyama K,Sato Y,Hayashi K,Usami S,Suzuki H,Ogawa J:S-1 chemotherapy for cancer of the gastric tube used for esophageal reconstruction following surgery for esophageal cancer(in Japanese with English abstract).Jpn J Cancer Chemother (Gan to Kagaku Ryoho)34:2287-2290,200734) Yamasawa K,Shimizu T,Shimosato A,Mihara F,...