Перегляд вихідного коду сторінки Abnormal Yet Uplifting Phrases Around Flavoprotein

If gastric trocarization [http://www.selleckchem.com/products/Rapamycin.html Rapamycin supplier] is performed, it may be advisable to use ultrasound guidance to identify the location of the spleen before the procedure. While gastric perforation causing leakage of gastric contents was not noted in our study, the possibility of this complication remains. Gastric trocarization was successful in the majority of cases but was unsuccessful in a few. The possible reasons for an unsuccessful outcome after gastric trocarization in this study include too small a catheter (in length or gauge), the absence of a significant amount of gas in the stomach or a failure to place the catheter into the stomach. Given the retrospective nature of this study, it is not possible to definitively state why gastric trocarization was unsuccessful in some cases. A prospective study investigating these possibilities is needed to determine the exact cause of failure of gastric trocarization. Orogastric tubing in humans can be associated with aspiration pneumonia, oesophageal necrosis, oesophageal perforation and/or gastric perforation (Hafner et al. 1961). In theory, these risks also exist in veterinary patients. In the dogs undergoing orogastric tubing in this study, no instances of oesophageal [http://www.selleckchem.com/products/ABT-263.html Apoptosis inhibitor] or gastric perforation were noted at the time of surgery. In four of these cases, gastric necrosis was noted at the time of surgery. A diagnosis of necrosis was made based on abnormal serosal surface colour and palpation. In areas of necrosis, where the gastric wall is more friable, it is possible that perforation could occur with contact of the orogastric tube and the necrotic wall. All four cases in which gastric necrosis was present underwent orogastric tubing during initial stabilization. However, the location of gastric necrosis was not noted in the medical record, and it is unknown whether the orogastric tube contacted those areas. An additional complication of orogastric tubing that can be encountered is the inability to pass the tube into the stomach, which occurred in approximately 25% of dogs in this study. In the two cases of severe volvulus, [http://en.wikipedia.org/wiki/Flavoprotein Flavoprotein] the inability to pass the orogastric tube into the stomach may have been due to rotation and subsequent narrowing of the lower oesophageal sphincter or technical error (too wide a tube, insufficient amount of lubrication on the tube, insufficient sedation) during initial stabilization. In the nine cases of moderate volvulus, inability to pass the tube may have been due to either technical error during initial stabilization, or the gastric volvulus may have partially corrected itself before surgery. In theory, a moderate volvulus (i.e.