Journal of Clinical Toxicology
Open Access
ISSN: 2161-0495
+44 1478 350008
ISSN: 2161-0495
+44 1478 350008
Masato Miyauchi
Nippon Medical School,
Tokyo
Japan
Case Report
Utility of Upper Gastrointestinal Endoscopy for Management of Patients with Roundup Poisoning
Author(s): Kenji Iwai, Masato Miyauchi, Daisuke Komazawa, Ryoko Murao, Hiroyuki Yokota and Atushi KoyamaKenji Iwai, Masato Miyauchi, Daisuke Komazawa, Ryoko Murao, Hiroyuki Yokota and Atushi Koyama
Introduction: Roundup® is a herbicide widely used in Japan in gardening and agriculture. When ingested, Roundup is highly toxic, but gastrointestinal decontamination, including gastric lavage, is not routinely performed after ingestion. Endoscopy may be useful in managing individuals with liquid herbicide poisoning, by identifying gastric residual contents, assessing mucosal damage and retrieving herbicide directly by aspiration.
Case report: A 73 year old, 40 kg female with a history of depression was transported to our emergency room by ambulance 1 h after attempting suicide by ingesting 100 ml Roundup, which contains 48% glyphosate-potassium, and 52% surfactant and water. This volume was below a fatal dose (<5000 mg/kg), but may have caused organ dysfunction and mucosal damage. After confirming respiratory and circulatory stability a.. View More»
DOI:
10.4172/2161-0495.1000218