Treatment of theophylline toxicity with oral activated charcoal: True RJ, Berman JM, Mahutte CK Crit Care Med 12:113–114 Feb 1984
✍ Scribed by David M Claman
- Book ID
- 104313037
- Publisher
- Elsevier Science
- Year
- 1984
- Tongue
- English
- Weight
- 124 KB
- Volume
- 13
- Category
- Article
- ISSN
- 1097-6760
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✦ Synopsis
of the GI tract. The sites of perforation included the esophagus, duodenum, and jejunum. There were no colon or rectal perforations. The FBs responsible for the perforations were a toothpick, straightened paper clips, and chicken bones. There were no postoperative complications. Based on these findings, the authors recommend a conservative approach to patients with FBI. They conclude the following: 1) If the FB has not reached the stomach, endoscopic removal under general anesthesia is indicated; 2) Toothpicks and chicken bones pose the greatest risk of GI perforation and, if possible, should be endoscopically removed as early as possible; 3) Of those FBs that reach the stomach, 80% will pass spontaneously within 3 days without any complications. Thus, asymptomatic patients with FB in the stomach can safely be observed for symptom development; 4) Failure of the FB to migrate through the GI tract is an indication for laparotomy; 5) Bowel perforation, bleeding, obstruction, or any clinical signs of an acute abdomen are indications for immediate laparotomy. The authors propose a simple algorithm incorporating the above conclusions.