National and Kapodistrian University of Athens
ΣΥΜΒΟΛΗ ΕΙΣ ΤΗΝ ΜΕΛΕΤΗΝ ΤΗΣ ΟΞΕΙΑΣ ΓΑΣΤΡΙΚΗΣ ΔΙΑΤΑΣΕΩΣ
Abstract
dc:descriptionACUTE GASTRIC DILATATION IS MAINLY A POSTOPERATIVE COMPLICATION. THE PRESENT STUDY AIMS AT THE INVESTIGATION OF THOSE FACTORS WHICH CONTRIBUTE TO THE DEVELOPMENT OF ACUTE GASTRIC DILATATION AND OF THE ESTABLISHMENT OF THOSE PROOPERATIVE, OPERATIVE AND POSTOPERATIVE MEASURES, WHICH DIMINISH THE POSTOPERATIVE GASTRIC STASIS ABLE TO RESULT IN ACUTE GASTRIC DILATATION. FOR THIS PURPOSE, 16 PATIENTS WITH ACUTE GASTRIC DILATATION WERE INVESTIGATED AND THE GASTRIC BEHAVIOR OF 244 OPERATED PATIENTS WAS STUDIED. THE FOLLOWING CONCLUSIONS WERE DRAWN: ACUTE GASTRIC DILATION IS USUALLY THE RESULT OF NON EMPTYING OF THE STOMACHDURING THE OPERATION AND ITS DISTENTION WITH AIR DURING THE INDUCTION OF ANESTHESIA. IT ALSO MAY BE RESULT OF INPROPER FUNCTION OF THE RHINOGASTRIC TUBE. THE INCREASED OCCURENCE OF ACUTE GASTRIC DILATATION AFTER INJURY AND IN VERY ILL PATIENTS MUST BE KEPT IN MIND. THE RHINOGASTRIC ASPIRATION IS MOSTLY USED UNSUITABLY. THE LIMIT, THE EXTENCE OF GASTRIC STASIS AND THEREBY THE DANGER OF ACUTE GASTRIC DILATATION, THE FOLLOWING MEASURES ARE SUGGESTED. A. IMPROVEMENT OF SURGICAL TECHNIQUE BY AVOIDING PROPOSELESS MANIPULATIONS OF THE VISCERA. B. AVOIDING THE DISTENTION OF THE STOMACH WITH AIR DURING THE INDUCTION OF ANESTHESIA AND MAINTAINING IT EMPTY DURING THE OPERATION AND AFTER IT. C. PROPER POSTOPERATIVE CASE BY THE EARLY MOBILIZATION OF THE PATIENT, AVOIDANCE OF EXCESSIVE USE OF ANALGESIC DRUGS.
Degree
thesis:*- Grantor dc:publisher
- National and Kapodistrian University of Athens
- Year dc:date
- 1985
Author and committee
dc:creator, dc:contributor.*- Authors dc:creator
-
- Gkonis, Georgios
- Γκόνης, Γεώργιος
Subjects
dc:subject × 12Rights
- Language dc:language
- gre
Identifiers
dc:identifier.*- Identifier
- 10.12681/eadd/0322
- OAI identifier oai:identifier
- oai:10442/0322