Aerofagia por ventilación mecánica no invasiva: primera manifestación de un carcinoma gástrico silente

The effect of non-invasive ventilation on intra-abdominal pressure

“…Aerophagia can occur in up to half of patients with NIV and may lead to discontinuation. The use of gastroprokinetic drugs or changes in NIV settings may help [ 11 ]. However, if abdominal distension due to NIV persists or repeatedly reoccurs, further investigations to rule out any co-existing underlying abdominal pathology have been recommended [ 11 ].…”

“…The use of gastroprokinetic drugs or changes in NIV settings may help [ 11 ]. However, if abdominal distension due to NIV persists or repeatedly reoccurs, further investigations to rule out any co-existing underlying abdominal pathology have been recommended [ 11 ]. The normal esophago-gastric sphincter pressure is thought to be above 10 cm H 2 O and reduced in about half of the patients with gastro-oesophageal reflux disease [ 12 , 13 ].…”

“…However, applying pressure support of more than 10 cm H 2 O did not influence IAP in our cohort. It is thought that patients can to some degree learn to handle and eliminate gas effectively [ 11 ].…”