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LETTER TO EDITOR
Year : 2011 | Volume
: 5
| Issue : 4 | Page : 441-442
Gastric tube connector: A simple solution for everyday problem
Anju Gupta1, Nishkarsh Gupta2
1 Department of Anaesthesiology, Government of NCT DELHI, New Delhi, India
2 Department of Anaesthesiology, PGIMER and RMLH, New Delhi, India
Correspondence Address:
Anju Gupta
437, Pocket A, Sarita Vihar, New Delhi 110 001
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/1658-354X.87281
| Date of Web Publication | 8-Nov-2011 |
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How to cite this article:
Gupta A, Gupta N. Gastric tube connector: A simple solution for everyday problem. Saudi J Anaesth 2011;5:441-2 |
Sir,
Nowadays, bariatric surgery for morbid obesity is commonly done. [1] Laparoscopic sleeve gastrectomy is one of the restrictive procedures done to limit the patient's capacity for intake of food. During the procedure, a gastric drain tube is put through the oral cavity to guide the procedure. Since the procedure is done laparoscopically, gastric pouch created, is checked for leaks, if any, from the suture line. [2]
Normally, the peritoneal cavity is filled with water and the air is pushed through the gastric tube to see the presence of any leak. But there is disparity between the syringe hub and the inlet of gastric tube resulting in the excessive leakage of air pushed through the gastric tube. Generally, the peritoneal cavity around the stomach is filled with water and one has to repeatedly push the air through the gastric tube to confirm any leakage from sutured gastric remnant. To prevent this problem, we have devised a simple solution. The connector of size 4.5 endotracheal tube (ETT) is taken and its 22 mm female side (used as male end) fits tightly into the end of the gastric tube. The hub of 50 ml syringe fits snugly into the other end of the ETT connector [Figure 1]. Leak test carried out with this assembly prevents undue leakage into the surrounding and makes the test smoother. Since we have started using this, both the surgeons and anesthetists are able to do the test easily and more authentically. To the best of our knowledge, this has not been documented in literature anywhere. We feel this is a simple solution for a critical step in bariatric surgery and should be used on regular basis. | Figure 1: Gastric tube (a) ETT connector (b) and 50 ml syringe (c) assembly
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| References | |  |
| 1. | Roa PE, Kaidar-Person O, Pinto D, Cho M, Szomstein S, Rosenthal RJ. Laparoscopic sleeve gastrectomy as treatment for morbid obesity: Technique and shortterm outcome. Obes Surg 2006;16:1323-6. 
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| 2. | Márquez MF, Ayza MF, Lozano RB, Morales Mdel M, Díez JM, Poujoulet RB. Gastric leak after laparoscopic sleeve gastrectomy. Obes Surg 2010;20:1306-11.
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[Figure 1]
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