Articles: gastric-lavage.
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Pediatr. Surg. Int. · Jul 1999
Case ReportsButton battery ingestion: a solution to a management dilemma.
There is a dilemma in the management of ingested intact button batteries in the gastrointestinal (GI) tract distal to the oesophagus: whether to do an emergency laparotomy or to adopt a wait-and-watch policy. In this case report an effective, safe, and quick method of GI lavage was used and a button battery was expelled successfully from the stomach without resorting to laparotomy or endoscopy.
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The management of acute poisoning remains an important part of accident and emergency (A&E) care. Three gastric decontamination procedures have been widely used: gastric lavage, ipecac, and activated charcoal. ⋯ Ipecac is effectively obsolete and gastric lavage has a narrow range of indications, principally for potentially serious amounts of agents not adsorbed by charcoal. Protocols for care of overdose patients should be modified accordingly.
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Gastrointest. Endosc. · Feb 1996
A prospective outcome study of patients with clot in an ulcer and the effect of irrigation.
The proper management of patients with clots in an ulcer base has not been clearly defined by prospective studies. Variable prevalence and rebleeding rates may be explained by differing degrees of vigor used to clear the clot, as removal may reveal other stigmata. We prospectively assessed the natural histories of patients with clots after vigorous irrigation, employing a management strategy of endoscopic therapy for patients with high-risk stigmata and observation of those with clots resistant to washing or low-risk findings. ⋯ Irrigation appears to be useful in patients with upper gastrointestinal bleeding who have ulcers with clots. The endoscopic findings present after washing can be used to dictate the appropriate management at initial endoscopy. Application of hemostatic therapy in patients with active bleeding or nonbleeding visible vessels and observation of patients with other stigmata, including clots resistant to washing, resulted in an excellent outcome.
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Randomized Controlled Trial Clinical Trial
Gastric emptying in acute overdose: a prospective randomised controlled trial.
To test the hypothesis that administration of activated charcoal is as efficacious and safe as the combination regimen of gastric emptying plus charcoal in adults after acute oral overdose. ⋯ Gastric emptying can be omitted from the treatment protocol for adults after acute oral overdose.
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Comparative Study Clinical Trial
Evaluation of gastric emptying using radionuclides: gastric lavage versus ipecac-induced emesis.
To compare the efficacy of gastric lavage and ipecac-induced emesis by using a radionuclide marker in a simulated overdose and to determine the amount of material recoverable after lavage fluid appears clear. ⋯ In this study, ipecac-induced emesis was significantly more effective than gastric lavage in emptying the stomach after simulated overdose. Significant amounts of ingested material are recoverable in gastric lavage return after it appears clear.