Illustrative CasesGastric Drainage in the Treatment of Near-Fatal Food-Induced AnaphylaxisLazar, Isaac MD∗,†,‡; Cavari, Yuval∗,†,‡; Levitas, Aviva†,‡,§; Mandolla, Amarilia B.†,‡,∥; Broides, Arnon MD†,‡,∥Author Information From the ∗Pediatric Intensive Care Unit, Ben-Gurion University of the Negev †Soroka University Medical Center ‡Faculty of Health Sciences, Ben-Gurion University of the Negev §Pediatric Cardiology Unit, Soroka University Medical Center ∥Pediatric Allergy Clinic, Ben-Gurion University of the Negev, Beer-Sheva, Israel. Disclosure: The authors declare no conflict of interest. Reprints: Arnon Broides, MD, Pediatric Allergy Clinic, Soroka University Medical Center, POB 151, Bee-Sheva, Israel 84101 (e-mail: firstname.lastname@example.org). Pediatric Emergency Care: March 2020 - Volume 36 - Issue 3 - p e166-e167 doi: 10.1097/PEC.0000000000001293 Buy Metrics Abstract Anaphylaxis should be treated with early administration of intramuscular Adrenalin; however, fatalities may still occur even with this therapy. We report a patient with near-fatal anaphylaxis due to milk whose symptoms persisted and were resistant to any therapeutic attempt; however, the patient had a prompt resolution of the anaphylaxis shortly after a nasogastric tube placement with gastric drainage, suggesting that this procedure ended the ongoing absorption of additional allergen from the gastrointestinal tract. We suggest that nasogastric drainage of gastric contents should be considered as part of the therapy in severe food-induced anaphylaxis. Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.