Case 28: Laparoscopic Achalasia Surgery
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A laparoscopic surgery for achalasia is just about completed. At that point the surgeon often asks the anesthesiologist to insufflate the stomach with air. This is done to make sure sutures are doing their job and no leak is seen. The anesthesiologist usually does this with a large syringe attached to the proximal end of the patient’s nasogastric tube. This technique is not easy to do and has limitations. The main problem with this technique is that it is very difficult to maintain a steady pressure in the stomach.