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Persistent postoperative hiccups: a review

B J Hansen1, J Rosenberg

  • 1Department of Surgical Gastroenterology, Hvidovre University Hospital, Denmark.

Acta Anaesthesiologica Scandinavica
|October 1, 1993
PubMed
Summary
This summary is machine-generated.

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Persistent postoperative hiccups remain poorly understood. A nasogastric tube may offer effective treatment by altering neural pathway activity, alongside reviewing existing literature for a treatment protocol.

Area of Science:

  • Gastroenterology
  • Neurology
  • Surgical Complications

Background:

  • The exact cause of persistent postoperative hiccups is unknown.
  • Hiccups can be a symptom of gastric distention, subphrenic abscess, or metabolic disturbances.
  • Increased activity in undefined neural reflex pathways may contribute to hiccups.

Purpose of the Study:

  • To review the available literature on treating persistent hiccups.
  • To provide a treatment protocol for persistent postoperative hiccups.

Main Methods:

  • Literature review of treatment modalities for persistent hiccups.
  • Evaluation of the efficacy of valproate for non-surgical hiccups.
  • Assessment of nasogastric tube application for treating hiccups.

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Main Results:

  • Valproate has shown effectiveness in treating persistent non-surgical hiccups in trials.
  • Nasogastric tube insertion may successfully resolve hiccups, potentially by modifying neural pathway activity.

Conclusions:

  • The pathogenesis of persistent hiccups requires further investigation.
  • A structured treatment protocol, including options like nasogastric intubation, is proposed for persistent postoperative hiccups.