Lavage to Remove Enteric-Coated Aspirin and Gastric Outlet Obstruction

Abstract

ExcerptEnteric-coated aspirin is commonly prescribed to decrease the gastrointestinal side-effects associated with aspirin therapy. A previous report described the accumulation of 66 intact enteric-coated aspirin in the stomach with subsequent surgical removal (1). We report a second case of the accumulation of intact enteric-coated aspirin in the stomach secondary to gastric outlet obstruction. However, the tablets were removed by gastric lavage with a sodium bicarbonate solution.Patient No. 1875 had duodenal ulcer disease since 1961. Eighteen months before admission he experienced transient ischemic attacks. Papaverine and aspirin were prescribed. Six months before admission he was placed on enteric-coated aspirin because...