Regurgitation
This is a very serious risk especially once the stomach has been untwisted. Regurgitation can cause oesophagitis which is a very painful condition or even oesophageal stricture which can prove to be life threatening.
Aspiration of stomach contents causes pneumonia which again can be a life threatening complication.
It is very important to make sure that the cuff on the endotracheal tube is properly inflated so that no gas can be heard escaping around it. Before recovery the patient’s pharynx and oesophagus should be examined and if fluid is present suctioned clear then flushed with saline to remove the highly acidic material and prevent injury to the oesophagus.
Placing a stomach tube during surgery to empty the stomach can help to remove the stomach contents safely. But the oesophagus and pharynx should still be thoroughly checked at the end of the procedure.
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