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April 19, 1947


JAMA. 1947;133(16):1238. doi:10.1001/jama.1947.02880160064023

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To the Editor:—  May I comment on your editorial "Value of Gastric Lavage in Treatment of Acute Poisoning" based on the recent work of Harstad, Møller and Simesen (The Journal, March 1, p. 545)? According to these investigators gastric lavage is generally inefficient because little of the poison is recovered and because it promotes passage of the poison into the intestine and other structures. My discussion will be limited entirely to the technic of lavage.With all due respect to the Copenhagen workers, it might be suggested that "lavage with a conventional stomach tube through an attached funnel" is hardly the way to evacuate a stomach in a hurry. No procedure based on siphonage can hope to do that. The only worse way is the use of a small tube passed through the nares. Unfortunately small caliber tubes have so widely come to replace the large tube technic for gastric

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