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Case Reports in Anesthesiology
Volume 2012 (2012), Article ID 186104, 2 pages
http://dx.doi.org/10.1155/2012/186104
Case Report

The Risk of Regurgitation and Pulmonary Aspiration in a Patient after Gastric Banding

Department of Anesthesia ICU, Pain Management and Palliative Care, Hamad Medical Corporation, 3050 Doha, Qatar

Received 18 December 2011; Accepted 12 February 2012

Academic Editors: I.-O. Lee and A. Trikha

Copyright © 2012 Abdulvahab Thekkethodika. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Laparoscopic gastric banding is a popular surgical treatment performed to control morbid obesity all over the world. Regurgitation of food material from stomach is very common in these patients. Remnants of food material may risk the airway for pulmonary aspiration. This case experience shows that despite the extended fasting period, airway is not protected from the risk of aspiration. Delayed gastric emptying and altered gastroesophageal motility keep the food materials in the stomach and precipitate regurgitation. So any such patient should be considered as full stomach. Airway manipulation in these patients should be under direct laryngoscopic vision and rapid sequence induction with endotracheal intubation should be considered as mandatory for general anesthesia.