Monday, July 10, 2017

Acute gastric dilatation

Acute gastric dilatation can occur with excessive air swallowing related to respiratory distress, improper endotracheal tube insertion, tracheoesophageal fistula and with distal gastric or duodenal obstruction.

The patients are often already unwell and a common outcome is sudden vomiting, aspiration and cardiorespiratory arrest.

The danger of acute gastric dilatation lies in its potential for complications and death if the patient goes untreated. Prompt response to appropriate therapy can usually be achieved when early signs are appreciated.

Acute gastric dilatation has been noted frequently in people with quadriplegia whose injury is recent. Fatal cases of acute gastric dilatation in people with chronic quadriplegia may be due to vagally mediated respiratory arrest, aspiration pneumonia or gastric rupture.
Acute gastric dilatation
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