Intended for healthcare professionals

Rapid response to:

Observations Yankee Doodling

Fuming about e-cigarettes and harm

BMJ 2015; 351 doi: (Published 26 August 2015) Cite this as: BMJ 2015;351:h4634

Rapid Response:

Re: Fuming about e-cigarettes and harm

The Editor
The British Medical Journal September 5th. 2015


Fuming about e-cigarettes and harm

E-cigarettes may be free from the toxins and carcinogens that cause lung cancer and other lung diseases but still contain nicotine and are harmful. Nicotine is not only addictive but is also associated with peptic ulceration, coronary thrombosis, stroke and peripheral vascular disease. During 16 year working as a surgeon in India I have memories of doing many lumbar sympathectomies and leg amputations for ischaemia in patients with Buerger’s disease as a result of nicotine from the smoking of beedis. Surely these dangers make a case for total quitting and certainly not for the increasing availability of e-cigarettes.

Frank I Tovey OBE, ChM, FRCS.

Competing interests: No competing interests

05 September 2015
Frank I Tovey
Retired Consultant Surgeon
21 Farringford Court, 1 Avenue Road, Lymington SO41 9PA