723:
747:
735:
135:
Gastric lavage is used infrequently in modern poisoning treatment. Some authorities have actually suggested that it not be used routinely, if ever, in poisoning situations. Lavage should only be considered if the amount of poison ingested is potentially life-threatening and the procedure can be
100:
down into the stomach followed by sequential administration and removal of small volumes of liquid. The placement of the tube in the stomach must be confirmed by pH testing a small amount of aspirated stomach contents, or x-ray. This is to ensure the tube is not in the lungs.
48:
using a tube. Since its first recorded use in early 19th century, it has become one of the most routine means of eliminating poisons from the stomach. Such devices are normally used on a person who has ingested a
76:
Apart from toxicology, gastric lavage (or nasogastric lavage) is sometimes used to confirm levels of bleeding from the upper gastrointestinal tract. It may play a role in the evaluation of
140:
in newborns, a condition where the small intestine is closed distal to the stomach, causing food and fluid to accumulate in the stomach. When the body temperature
785:
1686:
315:
1457:
1418:
1483:
1061:
821:
123:
before performing lavage. The person must be anaesthetised for a period of time during the operation due to its high risk of shock and
164:
or perforation. Relative contraindications include when the poisoning is due to a corrosive substance (strong acids or strong bases) (
1488:
778:
1224:
1381:
317:
192:, which is more likely to occur if hydrocarbons are ingested in patients without a protected airway. Other complications include
698:
266:
936:
771:
416:
104:
In adults, small amounts of warm water or saline are administered and, via a siphoning action, removed again. In children,
188:
Many complications have been reported, although it appears serious complications are uncommon. The most dangerous risk is
985:
1423:
1681:
1676:
637:
751:
1214:
1722:
921:
872:
708:
612:
320:; European Association of Poisons Centres and Clinical Toxicologists (2004). "Position paper: gastric lavage".
1303:
1047:
895:
112:
if lavaged with water. Because of the possibility of vomiting, a suction device is always on hand in case of
763:
1569:
1288:
1115:
992:
812:
17:
1478:
1313:
857:
739:
1386:
1308:
1176:
1035:
1574:
1364:
1278:
1186:
1105:
877:
867:
657:
116:
of stomach contents. Lavage is repeated until the returning fluid shows no further gastric contents.
1668:
1523:
1181:
862:
804:
647:
632:
459:
409:
1617:
1533:
1158:
916:
495:
449:
160:
when patients have a compromised, unprotected airway and in patients at risk of gastrointestinal
1647:
1462:
926:
795:
652:
596:
97:
389:
256:
1622:
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1002:
963:
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113:
8:
1594:
1518:
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1318:
1293:
1209:
1204:
1148:
943:
727:
474:
464:
402:
290:
119:
If the patient is unconscious or cannot protect their airway then the patient should be
1088:
931:
678:
662:
469:
439:
345:
217:
177:
1654:
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1500:
1346:
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576:
337:
262:
197:
145:
105:
58:
349:
237:
1658:
1495:
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627:
561:
510:
454:
329:
254:
137:
136:
performed within 60 minutes of ingestion. Lavage is also the initial treatment for
1696:
1473:
1469:
1452:
1447:
1234:
1130:
1120:
1095:
1083:
1070:
1022:
642:
622:
505:
157:
144:, gastric lavage with iced saline also can be an aggressive cooling measure in a
70:
1701:
1528:
1391:
1336:
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1012:
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535:
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363:
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54:
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81:
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571:
205:
1510:
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173:
887:
703:
291:"Cooling Techniques for Hyperthermia: Treatment & Medication"
66:
62:
45:
255:
Gary R. Fleisher; Stephen Ludwig; Benjamin K. Silverman (2002).
1604:
1168:
525:
50:
32:
1373:
545:
540:
394:
288:
92:
Gastric lavage involves the passage of a tube (such as an
44:, is the process of cleaning out the contents of the
261:. Lippincott Williams & Wilkins. pp. 409–.
108:
is used, as children are more at risk of developing
309:
289:Laura W Kates; Erik D Schraga (12 December 2008).
80:. It can also be used as a cooling technique for
248:
1714:
1419:Transjugular intrahepatic portosystemic shunt
820:
779:
410:
242:Sydney Gazette and New South Wales Advertiser
297:. Omaha, Nebraska, USA: Medscape. p. 2
1069:
786:
772:
417:
403:
1560:
364:"BestBets: Method of gut decontamination"
172:), or for poisons that have an effective
1225:Transanal hemorrhoidal dearterialization
258:Synopsis of pediatric emergency medicine
176:. It is also contraindicated in case of
27:Process of clearing the stomach contents
1382:Artificial extracorporeal liver support
318:American Academy of Clinical Toxicology
220:, or mechanical injury to the stomach.
14:
1715:
699:List of extremely hazardous substances
767:
398:
937:Vertical banded gastroplasty surgery
734:
151:
986:Percutaneous endoscopic gastrostomy
794:Tests and procedures involving the
746:
24:
1424:Distal splenorenal shunt procedure
25:
1734:
638:Poisoning of Alexander Litvinenko
383:
745:
733:
722:
721:
183:
1215:Lateral internal sphincterotomy
376:Principle of FMT-Rajesh Bardale
69:, to clear the contents of the
65:. They may also be used before
922:Endoscopic sleeve gastroplasty
873:Functional Lumen Imaging Probe
709:Occupational safety and health
613:1858 Bradford sweets poisoning
424:
370:
356:
282:
230:
130:
13:
1:
1304:Lower gastrointestinal series
1048:Upper gastrointestinal series
223:
1570:Diagnostic peritoneal lavage
1289:Double-contrast barium enema
1116:Partial ileal bypass surgery
993:Esophagogastric dissociation
87:
7:
1387:Bioartificial liver devices
1314:Transrectal ultrasonography
10:
1739:
1309:Small-bowel follow-through
1177:Abdominoperineal resection
1036:Esophagogastroduodenoscopy
1669:Clinical prediction rules
1667:
1635:
1603:
1575:Intraperitoneal injection
1551:
1509:
1434:
1372:
1363:
1327:
1279:Abdominal ultrasonography
1233:
1195:
1187:Total mesorectal excision
1167:
1129:
1106:Intestine transplantation
1060:
1021:
896:Sengstaken–Blakemore tube
886:
878:High resolution manometry
868:Esophageal motility study
829:
811:
802:
717:
671:
658:2022 Aqaba toxic gas leak
605:
554:
488:
432:
238:"Latest British Extracts"
1524:Pancreas transplantation
1182:Lower anterior resection
863:Esophageal pH monitoring
805:Digestive system surgery
648:Consumption of Tide Pods
633:Niigata Minamata disease
460:Environmental toxicology
1618:Inguinal hernia surgery
1534:Pancreaticoduodenectomy
917:Adjustable gastric band
858:Impedance–pH monitoring
496:Acceptable daily intake
450:Occupational toxicology
36:, also commonly called
1648:Exploratory laparotomy
1463:Hepatoportoenterostomy
927:Gastric bypass surgery
796:human digestive system
653:Visakhapatnam gas leak
597:Whole bowel irrigation
322:J Toxicol Clin Toxicol
1723:Toxicology treatments
1623:Femoral hernia repair
1409:Liver transplantation
1003:Nissen fundoplication
618:2007 pet food recalls
334:10.1081/CLT-200045006
98:via the mouth or nose
73:before it is opened.
1220:Rubber band ligation
1159:Hartmann's operation
516:Fixed-dose procedure
316:Vale, JA; Kulig, K;
190:aspiration pneumonia
114:pulmonary aspiration
1595:Peritoneal dialysis
1414:Portal hypertension
1319:Virtual colonoscopy
1294:Endoanal ultrasound
1210:Anorectal manometry
1205:Anal sphincterotomy
1149:Colonic polypectomy
944:Collis gastroplasty
475:In vitro toxicology
465:Forensic toxicology
244:. 17 February 1825.
178:aluminum phosphide
1089:Jejunoileal bypass
932:Sleeve gastrectomy
679:Biological warfare
663:List of poisonings
470:Medical toxicology
440:Aquatic toxicology
218:water intoxication
42:gastric irrigation
1710:
1709:
1655:Rapid urease test
1631:
1630:
1547:
1546:
1539:Puestow procedure
1501:Cholescintigraphy
1359:
1358:
1355:
1354:
1347:Stool guaiac test
1257:Capsule endoscopy
1079:Bariatric surgery
1056:
1055:
971:Gastroenterostomy
912:Bariatric surgery
761:
760:
577:Chelation therapy
268:978-0-7817-3274-1
168:), hydrocarbons (
152:Contraindications
146:medical emergency
142:rises above 40 °C
16:(Redirected from
1730:
1692:Child–Pugh score
1659:Urea breath test
1558:
1557:
1519:Frey's procedure
1496:Cholecystography
1370:
1369:
1067:
1066:
902:Nasogastric tube
827:
826:
818:
817:
788:
781:
774:
765:
764:
749:
748:
737:
736:
725:
724:
628:Minamata disease
562:Activated carbon
511:Biomagnification
455:Entomotoxicology
419:
412:
405:
396:
395:
377:
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367:
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353:
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252:
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138:duodenal atresia
21:
1738:
1737:
1733:
1732:
1731:
1729:
1728:
1727:
1713:
1712:
1711:
1706:
1697:Ranson criteria
1663:
1627:
1599:
1543:
1505:
1474:Cholangiography
1470:Medical imaging
1453:Cholecystostomy
1448:Cholecystectomy
1430:
1351:
1323:
1235:Medical imaging
1229:
1191:
1163:
1125:
1121:Strictureplasty
1096:Bowel resection
1084:Duodenal switch
1052:
1023:Medical imaging
1017:
882:
813:Digestive tract
807:
798:
792:
762:
757:
713:
667:
643:Seveso disaster
623:Bhopal disaster
601:
550:
506:Bioaccumulation
484:
428:
423:
386:
381:
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236:
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231:
226:
186:
158:contraindicated
154:
133:
90:
71:digestive tract
38:stomach pumping
28:
23:
22:
15:
12:
11:
5:
1736:
1726:
1725:
1708:
1707:
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1702:Milan criteria
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1694:
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1684:
1679:
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1553:Abdominopelvic
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1541:
1536:
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1529:Pancreatectomy
1526:
1521:
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1503:
1498:
1493:
1492:
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1486:
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1429:
1428:
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1426:
1421:
1411:
1406:
1401:
1396:
1395:
1394:
1392:Liver dialysis
1389:
1378:
1376:
1367:
1361:
1360:
1357:
1356:
1353:
1352:
1350:
1349:
1344:
1339:
1337:Fecal fat test
1333:
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1325:
1324:
1322:
1321:
1316:
1311:
1306:
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1075:
1073:
1064:
1062:Lower GI tract
1058:
1057:
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1053:
1051:
1050:
1045:
1043:Barium swallow
1040:
1039:
1038:
1027:
1025:
1019:
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1016:
1015:
1013:Schilling test
1010:
1005:
1000:
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907:Gastric lavage
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899:
892:
890:
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883:
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880:
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848:Heller myotomy
845:
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824:
822:Upper GI tract
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672:Related topics
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536:Toxicity class
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531:Toxic capacity
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508:
503:
501:Acute toxicity
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492:
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486:
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482:
480:Toxicogenomics
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384:External links
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328:(7): 933–943.
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1342:Fecal pH test
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1272:Sigmoidoscopy
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1008:Pyloromyotomy
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843:Esophagectomy
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694:Hazard symbol
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592:Hemoperfusion
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445:Ecotoxicology
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296:
292:
285:
270:
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243:
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229:
221:
219:
215:
214:hypochloremia
211:
207:
203:
199:
195:
191:
184:Complications
181:
179:
175:
171:
167:
163:
159:
149:
147:
143:
139:
128:
126:
122:
117:
115:
111:
107:
106:normal saline
102:
99:
95:
85:
83:
79:
74:
72:
68:
64:
60:
56:
52:
47:
43:
39:
35:
34:
19:
1590:Paracentesis
1404:Liver biopsy
1299:Enteroclysis
1284:Defecography
1139:Appendectomy
906:
750:
738:
726:
587:Hemodialysis
581:
372:
358:
325:
321:
311:
299:. Retrieved
294:
284:
272:. Retrieved
257:
250:
241:
232:
210:hyponatremia
194:laryngospasm
187:
155:
134:
125:hyponatremia
118:
110:hyponatremia
103:
93:
91:
82:hyperthermic
75:
41:
37:
30:
29:
18:Stomach pump
1580:Laparoscopy
1436:Gallbladder
1399:Hepatectomy
1329:Stool tests
1267:Proctoscopy
1262:Enteroscopy
1247:Colonoscopy
1131:Large bowel
1111:Jejunostomy
1071:Small bowel
998:Hill repair
981:Gastrostomy
959:Billroth II
949:Gastrectomy
853:Sialography
752:WikiProject
689:Food safety
521:Lethal dose
390:NIH/Medline
202:bradycardia
180:poisoning.
131:Indications
78:hematemesis
1643:Laparotomy
1585:Omentopexy
1562:Peritoneum
1197:Anal canal
976:Gastropexy
954:Billroth I
684:Carcinogen
555:Treatments
426:Toxicology
224:References
162:hemorrhage
156:Lavage is
94:Ewald tube
84:patients.
1440:bile duct
1365:Accessory
1243:Endoscopy
1154:Colostomy
1144:Colectomy
1101:Ileostomy
1031:Endoscopy
964:Roux-en-Y
835:Esophagus
606:Incidents
572:Cathartic
295:eMedicine
206:epistaxis
121:intubated
88:Technique
55:overdosed
1717:Category
1511:Pancreas
1252:Anoscopy
728:Category
567:Antidote
489:Concepts
350:29957973
342:15641639
274:4 August
174:antidote
61:such as
31:Gastric
888:Stomach
740:Commons
704:Mutagen
198:hypoxia
67:surgery
63:ethanol
46:stomach
1605:Hernia
1169:Rectum
526:Poison
433:Fields
348:
340:
265:
51:poison
33:lavage
1687:UKELD
1636:Other
1374:Liver
546:Venom
541:Toxin
346:S2CID
301:3 Nov
57:on a
1682:PELD
1677:MELD
1484:MRCP
1458:ERCP
338:PMID
303:2010
276:2010
263:ISBN
59:drug
1489:PTC
831:SGs
330:doi
170:T53
166:T54
53:or
40:or
1719::
1657:/
1479:IV
1472::
1438:,
1245::
833:/
344:.
336:.
326:42
324:.
293:.
240:.
216:,
212:,
208:,
204:,
200:,
196:,
148:.
127:.
96:)
898:)
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780:t
773:v
418:e
411:t
404:v
366:.
352:.
332::
305:.
278:.
20:)
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