@article{ref1,
title="Potentially fatal ingestion of heat-not-burn cigarettes successfully treated by gastric lavage",
journal="Journal of the American College of Emergency Physicians open",
year="2020",
author="Mae, Souichiro and Hamaguchi, Hisashi and Yumoto, Tetsuya and Nakao, Atsunori",
volume="1",
number="6",
pages="1709-1711",
abstract="Newly introduced heat-not-burn or electronic cigarettes can cause lethal nicotine intoxication if ingested at higher doses. Although routine gastric lavage is not  recommended, it should be considered if the amount of intoxicant is lethal. A  59-year-old man with a history of depression was brought to our emergency department  after intentional ingestion of 8 heat-not-burn cigarettes, which were estimated to  contain a total of 100 mg of nicotine. Abdominal computed tomography confirmed the  gastric contents, detecting multiple stick-like and rod-shaped high-density  structures. Gastric lavage was performed to minimize absorption of the potentially  lethal nicotine dose. The patient exhibited only mild gastrointestinal symptoms. Emergency physicians should be aware of this novel heat-not-burn cigarette and its  toxicity.<p /> <p>Language: en</p>",
language="en",
issn="2688-1152",
doi="10.1002/emp2.12283",
url="http://dx.doi.org/10.1002/emp2.12283"
}