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A Comparison of Gastric Freezing

L. G. Walker, Jr., MD; Frank C. Jones, Jr., MD; James C. Thoroughman, MD; Joseph W. Gilbert, MD

AMA Arch Surg. 1968;96(3):328-330.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

CARDIOVASCULAR complications have been reported following gastric hypothermia. The balloon circulating a coolant in the distended stomach is separated from the apex of the heart only by the diaphragm. The neck of the balloon is fixed in the lower esophagus, and cooling posterior to the heart occurs concomitantly.

Reynolds¹ reported two patients having paroxysmal auricular fibrillation shortly after gastric freezing. Auricular fibrillation occurred in a 67-year-old man with myocardial ischemia as a complication of gastric freezing in a series of 22 patients treated by Doyle and Williams.² Bernstein et al³ and Heineken and associates⁴ reported transient T-wave and ST segment changes concomitant with gastric freezing. Rose and Harrell⁵ found atrial fibrillation to occur in three and paroxysmal auricular tachycardia in one of 26 patients subjected to gastric hypothermia.

Studies by Peter et al⁶ of the physiologic effects of gastric hypothermia in the dog showed . . . [Full Text PDF of this Article]

Author Affiliations
Atlanta

From the Department of Surgery, Veterans Administration Hospital, and the Joseph B. Whitehead Department of Surgery, Emory University School of Medicine, Atlanta.

Footnotes
Submitted for publication Aug 8, 1967.

Reprint requests to Veterans Administration Hospital, Clairmont Rd NE, Box 29457, Atlanta, 30329 (Dr. Walker).

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