We completely agree with the statements by Nogué et al.1 Our case seems to have originated with the placement of a nasogastric tube, a previously injured gastric cavity and an attempt at decontamination in a therapeutic interval that was a priori out of range.2 For years, our group has been advising against both the indication as well as the use of routine decontamination measures3,4 due to potential iatrogenesis,5 which is probably underreported.6
In any event, given the possibility that similar unfortunate episodes may continue to occur, we feel the need to insist to surgeons that, in spite of a thorough initial surgical abdominal lavage, these patients require strict monitoring after the surgical intervention, as new episodes of peritonitis are foreseeable given the extensive diffusion of AC in the peritoneal cavity.
Please cite this article as: Lobo-Machín I, Medina-Arana V, Delgado-Plasencia L, Bravo-Gutiérrez A, Burillo-Putze G. Carbón activado en la cavidad peritoneal. Cir Esp. 2016;94:59.
