Acute dilatation of stomach is not managed by -

• This condition usually occurs in association with pyloroduodenal disorders or after surgery without nasogastric suction. • The stomach, which may also be atonic, dilates enormously. • Often the patient is also dehydrated and has electrolyte disturbances. • Failure to treat this condition can result in a sudden massive vomit with aspiration into the lungs. Treatment: • Nasogastric suction with a large-bore tube, fluid replacement and treatment of the underlying condition.