Oesophageal replacement by a gastric tube: An experimental study of the properties of the gastric tube

1974 ◽  
Vol 61 (7) ◽  
pp. 533-537 ◽  
Author(s):  
R. D. Henderson ◽  
A. Boszko ◽  
F. Mugashe ◽  
M. M. Szczepanski ◽  
G. Marryatt
1998 ◽  
Vol 31 (1) ◽  
pp. 143-143 ◽  
Author(s):  
Makoto Itoh ◽  
Tomohumi Nakano ◽  
Kimitsune Monma ◽  
Yuichi Itoh ◽  
Munetsugu Ohida ◽  
...  

Author(s):  
Pramod Bhale ◽  
Mitalee Pareek ◽  
Apurva Deshmukh ◽  
Sanhita Kulkarni

Background and AimsThis randomized, open label experimental study was undertaken to observe the ease of insertion, time taken for insertion of LMA supreme and ease of gastric tube insertion. Thirty adult patients undergoing elective surgery under general anaesthesia were assessed. Ease of insertion of LMA supreme and Gastric Tube was assessed with number of attempts required for insertion. Time taken for insertion and post-operative side effects of LMA supreme insertion were also observed. The demographic profile of patients was comparable. In our study out of 30 patients, LMA supreme was inserted in first attempt in 27 (90.00%) patients, only 3 (10.00%) patients required second attempt. Mean time taken for insertion of LMA supreme was 7.30±3.03 seconds. Gastric tube insertion was Easy in 29 (96.7%) and Impossible in 1 (3.33%). Hemodynamic response to insertion were similar in all patients and adverse effects were not significant. The LMA supreme takes 8 seconds for insertion, with post-operative sore throat in 1 (3.33%) patient after 24 hours of surgery. LMA supreme can be considered as preferred choice of airway for elective surgeries under general anaesthesia


2008 ◽  
Vol 90 (1) ◽  
pp. 7-12 ◽  
Author(s):  
GS Arul ◽  
D Parikh

INTRODUCTION The usual indications for oesophageal replacement in childhood are intractable corrosive strictures and long-gap oesophageal atresia. Generally, paediatric surgeons attempt to preserve the native oesophagus with repeat dilatations. However, when this is not successful, an appropriate conduit must be fashioned to replace the oesophagus. The neo-oesophagus should allow normal oral feeding, not have gastro-oesophageal reflux, and be able to function well for the life-time of the patient. PATIENTS AND METHODS A Medline search for oesophageal replacement, oesophageal atresia, gastric transposition, colon transposition, gastric tube, caustic stricture was conducted. The commonest conduits including whole stomach, gastric tube, colon and jejunum are all discussed. RESULTS No randomised controlled studies exist comparing the different types of conduits available for children. The techniques used tend to be based on personal preference and local experience rather than on any discernible objective data. The biggest series with long-term outcome are reported for gastric transposition and colon replacement. Comparison of a number of studies shows no significant difference in early or late complications. Early operative complications include graft necrosis, anastomotic leaks and sepsis. Late problems include strictures, poor feeding, gastro-oesophageal reflux, tortuosity of the graft and the development of Barrett's oesophagus. The biggest series, however, seem to have lower complications than small series probably reflecting the experience, built up over years, in their respective centres. CONCLUSIONS Long-term follow-up is recommended because of the risks of late strictures, excessive tortuosity of the neo-oesophagus and the development of Barrett's oesophagus.


2014 ◽  
Vol 49 (12) ◽  
pp. 1762-1766 ◽  
Author(s):  
Hui Qing Lee ◽  
Alisa Hawley ◽  
Joe Doak ◽  
Michael G. Nightingale ◽  
John M. Hutson

Author(s):  
Norio Baba ◽  
Norihiko Ichise ◽  
Syunya Watanabe

The tilted beam illumination method is used to improve the resolution comparing with the axial illumination mode. Using this advantage, a restoration method of several tilted beam images covering the full azimuthal range was proposed by Saxton, and experimentally examined. To make this technique more reliable it seems that some practical problems still remain. In this report the restoration was attempted and the problems were considered. In our study, four problems were pointed out for the experiment of the restoration. (1) Accurate beam tilt adjustment to fit the incident beam to the coma-free axis for the symmetrical beam tilting over the full azimuthal range. (2) Accurate measurements of the optical parameters which are necessary to design the restoration filter. Even if the spherical aberration coefficient Cs is known with accuracy and the axial astigmatism is sufficiently compensated, at least the defocus value must be measured. (3) Accurate alignment of the tilt-azimuth series images.


1962 ◽  
Vol 5 (4) ◽  
pp. 387-394 ◽  
Author(s):  
Bruce Quarrington ◽  
Jerome Conway ◽  
Nathan Siegel
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