RT Book, Section
A1 Swoboda, Henry D.
A1 Aks, Steven E.
A2 Reichman, Eric F.
SR Print(0)
ID 1159799279
T1 Whole Bowel Irrigation
T2 Reichman's Emergency Medicine Procedures, 3e
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9781259861925
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1159799279
RD 2024/04/23
AB Whole  bowel  irrigation  is  the  infusion  of  polyethylene  glycol  electrolyte  lavage  solution  into  the  stomach  at  flow  rates  higher  than  are  otherwise  commonly  used.  This  technique  can  be  used  to  decontaminate  the  gastrointestinal  tract  after  an  acute  toxic  ingestion  or  overdose.  The  goal  is  to  give  a  large  volume  of  a  balanced  electrolyte  solution  rapidly  to  flush  the  bowel  without  creating  electrolyte  disturbances  while  removing  the  ingestant.  Most  of  the  literature  supporting  its  use  is  in  the  form  of  case  reports  or  case  series,  with  cohort  studies  indicating  benefit  that  is  of  unclear  clinical  significance  and  does  not  support  broad  use  of  the  therapy.1  Demonstrated  benefits  are  small.2  The  indications  for  whole  bowel  irrigation  are  mostly  theoretical  and  will  be  refined  as  more  extensive  data  becomes  available.3  The  role  of  whole  bowel  irrigation  remains  limited.