Title: Whole Bowel Irrigation Position Paper Update... Well, Not Really
題目：全腸道灌洗意見論文更新
翻譯：葛赟 校對：肖鋒
Author 作者: Bryan Hayes

The original position paper on the use of whole bowel irrigation (WBI) was first published in 1997 by the American Academy of Clinical Toxicology (AACT) and the European Association of Poisons Centres and Clinical Toxicologists (EAPCCT) and updated in 2004.

全腸道灌洗使用方法的原始權威性文獻出版于1977年，由美國臨床毒理學科學院 （AACT）和歐洲毒藥中心及臨床毒理學家協會（EAPCCT）編寫，并在2004年對此文進行了修改。
The 2015 iteration concludes, "There is no new evidence that would require a major revision of the conclusions of the 2004 position statement."

2015年的研究表明，"沒有新的證據表明對2004年論文聲明的結論需要較大的修改"。
Indications
適應癥：
1 Potentially toxic ingestions of sustained-release or enteric-coated drugs有潛在毒性的緩釋或腸溶藥物的攝入
2 Substantial ingestions of iron, lithium, or potassium
大量的鐵、鋰、或鉀的攝入
3 Removal of ingested packets of illicit drugs
清除體內攝取的違禁藥物包

Application to Clinical Practice
在臨床實踐中的應用
WBI can facilitate removal of select toxicants from the gastrointestinal tract in some patients, but there is no convincing evidence from clinical studies that it improves the outcome of poisoned patients.

對一些病人而言，全腸道灌洗能幫助胃腸道某些毒物的排出，但是從臨床研究來看，并沒有確切的證據表明全腸道灌洗能提高中毒患者的療效。
References 參考文獻
Thanacoody R, et al. Position paper update: Whole bowel irrigation for gastrointestinal decontamination of overdose patients. Clin Toxicol 2015;53(1):5-12.