<prompt> Acute dilatation of stomach is not managed by -NG tube aspirationStop oral feedsSurgeryFluid and electrolyte balance  <response>: 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. 