Abstract
Flexible endoscopy was used to assess the intragastric residue after either ipecacuanha-induced emesis or gastric lavage in 30 self-poisoned patients. Of the 13 patients treated by induced-emesis, five (38.5%) had residual solid in the stomach; 17 patients were treated by gastric washout, and 15 (88.2%) of these had residual intragastric solid. The study provides direct evidence that the gastric decontaminating procedures employed, and especially gastric lavage, do not remove stomach contents completely.
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Selected References
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- Comstock E. G., Faulkner T. P., Boisaubin E. V., Oslon D. A., Comstock B. S. Studies on the efficacy of gastric lavage as practiced in a large metropolitan hospital. Clin Toxicol. 1981 May;18(5):581–597. doi: 10.3109/15563658108990285. [DOI] [PubMed] [Google Scholar]
- Curtis R. A., Barone J., Giacona N. Efficacy of ipecac and activated charcoal/cathartic. Prevention of salicylate absorption in a simulated overdose. Arch Intern Med. 1984 Jan;144(1):48–52. [PubMed] [Google Scholar]
- Danel V., Henry J. A., Glucksman E. Activated charcoal, emesis, and gastric lavage in aspirin overdose. Br Med J (Clin Res Ed) 1988 May 28;296(6635):1507–1507. doi: 10.1136/bmj.296.6635.1507. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kulig K., Bar-Or D., Cantrill S. V., Rosen P., Rumack B. H. Management of acutely poisoned patients without gastric emptying. Ann Emerg Med. 1985 Jun;14(6):562–567. doi: 10.1016/s0196-0644(85)80780-0. [DOI] [PubMed] [Google Scholar]
- LOUW A. Treatment of acute barbituric acid poisoning; ten years' experience at the centre for the treatment of poisoning in Copenhagen. Dan Med Bull. 1958 May;5(4):137–143. [PubMed] [Google Scholar]
- Matthew H., Mackintosh T. F., Tompsett S. L., Cameron J. C. Gastric aspiration and lavage in acute poisoning. Br Med J. 1966 May 28;1(5499):1333–1337. doi: 10.1136/bmj.1.5499.1333. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Neuvonen P. J., Vartiainen M., Tokola O. Comparison of activated charcoal and ipecac syrup in prevention of drug absorption. Eur J Clin Pharmacol. 1983;24(4):557–562. doi: 10.1007/BF00609903. [DOI] [PubMed] [Google Scholar]
- Proudfoot A. T. Abandon gastric lavage in the accident and emergency department? Arch Emerg Med. 1984 Jun;1(2):65–71. doi: 10.1136/emj.1.2.65. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Vale J. A., Meredith T. J., Proudfoot A. T. Syrup of ipecacuanha: is it really useful? Br Med J (Clin Res Ed) 1986 Nov 22;293(6558):1321–1322. doi: 10.1136/bmj.293.6558.1321. [DOI] [PMC free article] [PubMed] [Google Scholar]