“…Indeed, in cases of ingestion of potentially life-threatening doses of single or multiple drugs, a decontaminating gastroscopy is preferred and should be carried out as soon as possible, as gastric lavage alone may be ineffective in reducing drug absorption, especially if delayed for an hour after ingestion or if a large amount of the drug is ingested. Although the risk/benefit ratio of gastric lavage is still a matter of debate [32] , in a recent case, EGD successfully removed twenty foreign bodies consisting of a mixture of bupropion, fluoxetine and cyproheptadine adhered to the gastric fundus of a 14-year-old boy on the fourth day of hospitalization [33] . One case required ECMO because of propafenone exposure.…”