0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Esophagogastroduodenoscopy for Suspected Gastrointestinal Deposits

J. Gregory Rosencrance, MD; Elizabeth J. Scharman, PharmD, CSPI
Arch Intern Med. 1993;153(7):896. doi:10.1001/archinte.1993.00410070076012.
Text Size: A A A
Published online

The recent article by Young et al1 suggests that colonoscopy and esophagogastroduodenoscopy should be performed early in the setting of suspected continued absorption from a gastrointestinal deposit. In justifying this, the authors describe a patient who swallowed a small plastic bag containing phencyclidine. After undergoing gastric lavage and activated charcoal administration the patient received 11 L of a polyethylene glycol electrolyte lavage solution (PEG-ELS) between days 11 and 14 (average of 150 mL/h) without packet passage. The plastic bag was eventually passed on hospital day 20. Because of this delay in passage, the authors conclude that esophagogastroduodenoscopy should be performed early to avoid potential complications. However, had the PEG-ELS been employed in proper whole-bowel irrigation (WBI) doses (2000 mL/h for an adult) instead of the cathartic doses (150 mL/h), this delay in packet passage might not have occurred.

Correctly performed, WBI has been safely and effectively used as a

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();