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Whole Bowel Irrigation and the Hemodynamically Unstable Calcium Channel Blocker Overdose: Primum non Nocere. Cumpston KL et al.  J Emerg Med 2010;38:171-174.
Abstract
As even its proponents admit, whole bowel irrigation (WBI) with high-molecular-weight polyethylene glycol (PEG) has never been proven to improve clinical outcomes in toxicology patients.  Despite this, some physicians argue that the procedure is safe, and recommend that it be considered in cases involving toxins that do not bind well to charcoal, patients who have ingested sustained/delayed/extended-release products, or in body-packers. This important paper, from the Toxikon group in Chicago, reminds us that with WBI — as with just about everything else in medicine — there’s no free lunch….

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