Regurgitation and the often resulting aspiration of gastric contents is one of the most feared anesthetic accidents. According to compiled statistics 12%–14% of all anesthetic deaths are caused by regurgitation and aspiration of gastric contents. In spite of the development of numerous precautions and specific prophylactic techniques, this is still, in the era of endotracheal intubation, a problem for anesthesia. The lower esophageal sphincter (LES) is important as an antireflux mechanism for preventing regurgitation and aspiration during the induction of anesthesia in patients with a full stomach.

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© Springer-Verlag Berlin Heidelberg 1979

Authors and Affiliations

  • Gholam Sehhati-Chafai
    • 1
  1. 1.Institut für AnaesthesiologieKlinikum der Johannes Gutenberg-UniversitätMainzGermany

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