Akademik Veri Yönetim Sistemi
Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, cilt.14, sa.5, ss.247-249, 2004 (SCI-Expanded, Scopus)
The present study was designed to examine the effect of intra-abdominal pressure level on gastric intramucosal pH using gastric tonometry during pneumoperitoneum. One hundred patients were prospectively randomized into 5 equal groups (N = 20 each). Intra-abdominal pressure levels were 8, 10, 12, 14, and 16 mm Hg in groups I, II, III, IV, and V, respectively. Intramucosal pH measurement was done 2 times: 30 minutes following insufflation and 1 hour after the ending of the surgery. In the first and second measurements, intramucosal pH values were found as 7.39 ± 0.02 and 7.36 ± 0.03 in group I; 7.41 ± 0.03 and 7.38 ± 0.03 in group II, 7.37 ± 0.03 and 7.37 ± 0.03 in group III; 7.36 ± 0.03 and 7.37 ± 0.03 in group IV; and 7.39 ± 0.03, 7.36 ± 0.03 in group V, respectively. Statistical significance was not found in the comparison of these values within the groups and between the groups (P > 0.005, for each). In conclusion, intra-abdominal pressure between 8 and 16 mm Hg did not cause significant difference in gastric intramucosal pH.