Gastrointestinal tract perforation with charcoal peritoneum complicating orogastric intubation and lavage

Mariani, Peter J.; Pook, Nancy

doi:10.1016/s0196-0644(05)81954-7

Cited by 39 publications

(12 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Case reports of charcoal bezoars or inspissated charcoal being associated with small bowel obstruction exist after treatment with AC, but these events are also likely rare [119-122]. Acute appendicitis, charcoal stercolith associated with intestinal perforation and charcoal peritoneum has all been reported with AC treatment [123-126]. …”

Section: Introductionmentioning

confidence: 99%

Gastrointestinal decontamination in the acutely poisoned patient

et al. 2011

View full text Add to dashboard Cite

ObjectiveTo define the role of gastrointestinal (GI) decontamination of the poisoned patient.Data SourcesA computer-based PubMed/MEDLINE search of the literature on GI decontamination in the poisoned patient with cross referencing of sources.Study Selection and Data ExtractionClinical, animal and in vitro studies were reviewed for clinical relevance to GI decontamination of the poisoned patient.Data SynthesisThe literature suggests that previously, widely used, aggressive approaches including the use of ipecac syrup, gastric lavage, and cathartics are now rarely recommended. Whole bowel irrigation is still often recommended for slow-release drugs, metals, and patients who "pack" or "stuff" foreign bodies filled with drugs of abuse, but with little quality data to support it. Activated charcoal (AC), single or multiple doses, was also a previous mainstay of GI decontamination, but the utility of AC is now recognized to be limited and more time dependent than previously practiced. These recommendations have resulted in several treatment guidelines that are mostly based on retrospective analysis, animal studies or small case series, and rarely based on randomized clinical trials.ConclusionsThe current literature supports limited use of GI decontamination of the poisoned patient.

show abstract

Section: Introductionmentioning

confidence: 99%

Gastrointestinal decontamination in the acutely poisoned patient

et al. 2011

View full text Add to dashboard Cite

show abstract

“…It has been suggested that gastric lavage itself may actually propel gastric contents beyond the pylorus, thereby enhancing absorption and toxicity (11). In addition, case reports of gastric lavage causing esophageal perforation, aspiration pneumonia, and peritoneal contamination have been identified in the literature (12)(13)(14)(15).…”

Section: Discussionmentioning

confidence: 99%

Hypothermia: An Unusual Indication for Gastric Lavage

Adler

Lynch

Katz

et al. 2011

The Journal of Emergency Medicine

View full text Add to dashboard Cite

“…Se recomienda, siempre que sea posible, suministrarlo por vía oral. Su único inconveniente son sus características organolépticas, ya que su color negro, su sabor a tierra y su consistencia de líquido espeso lo hacen poco apetitoso y genera dificultad para ser aceptado y deglutido [23,30] Procedimiento. añadir ocho partes de agua a la cantidad seleccionada en forma de polvo.…”

Section: Carbón Activadounclassified