Case 28: Laparoscopic Achalasia Surgery

  • John G. Brock-Utne


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.


General anesthesia Nasogastric tube Gastric insufflation Laparoscopic surgery Syringe Jet ventilator 


  1. 1.
    Brock-Utne JG, Vierra M. Intraoperaxtive insufflation of the stomach: Another approach using a jet ventilator. Anesthesiology. 1997;87:1265.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • John G. Brock-Utne
    • 1
  1. 1.Department of AnesthesiaStanford UniversityStanfordUSA

Personalised recommendations