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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com




Sunday, June 10, 2012

Manejo de la ingestión de cuerpo extraño

Management of ingested foreign bodies and food impactions
GASTROINTESTINAL ENDOSCOPY 2011; 73 (6): 1085-1091
The Standards of Practice Committee of the American Society for Gastrointestinal Endoscopy (ASGE) prepared this text.
"This guideline is intended to be an educational device to provide information that may assist endoscopists in providing care to patients. This guideline is not a rule and should not be construed as establishing a legal standard of care or as encouraging, advocating, requiring, or discouraging any particular treatment. Clinical decisions in any particular case involve a complex analysis of the patient’s condition and available courses of action. Therefore, clinical considerations may lead an endoscopist to take a course of action that varies from these guidelines."
Myth: glucagon is an effective first-line therapy
for esophageal foreign body impaction
Arora S y Galich P. CJEM 2009;11(2):169-71
"The literature regarding the use of glucagon for EFBI lacks randomized, double-blinded controlled studies with the power necessary to detect efficacy differences..."