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[Whole bowel irrigation in infants for acute iron poisoning]
1Pediatric Dept. A, Schneider Children's Medical Center, Petah Tikva.
Insights
Acute iron poisoning in children is a significant concern. Whole bowel irrigation, alongside deferoxamine, offers a safe and effective treatment approach for acute iron poisoning, as demonstrated in a pediatric case study.
Area of Science:
- Pediatric Toxicology
- Gastrointestinal Procedures
Background:
- Acute iron poisoning is a leading cause of pediatric poisoning deaths.
- Whole bowel irrigation (WBI) is a standard procedure for gastrointestinal preparation.
- WBI has demonstrated utility in managing various toxic ingestions.
Observation:
- A case study involved a 1-year-old girl with acute iron poisoning.
- Treatment included whole bowel irrigation and deferoxamine administration.
- The combined treatment approach was successful in managing the poisoning.
Findings:
- Whole bowel irrigation, in conjunction with deferoxamine, proved effective in treating acute iron poisoning in a pediatric patient.
- The procedure was safely administered, highlighting its potential therapeutic role.
Implications:
- Whole bowel irrigation presents a viable and safe treatment option for acute iron poisoning in children.
- Further controlled clinical studies are warranted to validate the efficacy of WBI in acute iron poisoning management.
Abstract:
Acute iron poisoning is a major cause of death due to poisoning in children, so knowledge of its presentation and appropriate management are necessary. Whole bowel irrigation, used routinely in preparation for elective surgery and colonoscopy, are safe and effective procedures. In recent years whole bowel irrigation has been used several times in various toxic situations, including acute iron poisoning. We report our successful experience treating acute iron poisoning in a 1-year-old girl using whole bowel irrigation and deferoxamine. The safety and theoretical effectiveness of the procedure, although not proven in controlled clinical studies, suggests the use of whole bowel irrigation as treatment for acute iron poisoning.