Esophageal Stricture Caused by the Ingestion of Undissolved Picosulfate Powder

Daehyun Kim; Byungha Cho; Jong Wook Choi; Ki Bae Kim; Seon Mee Park

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자료유형: 학술저널

저자정보: Daehyun Kim (Department of Internal Medicine Chungbuk National University Hospital Cheongju Korea) Byungha Cho (Department of Internal Medicine Chungbuk National University Hospital Cheongju Korea) Jong Wook Choi (Department of Internal Medicine Chungbuk National University Hospital Cheongju Korea) Ki Bae Kim (Department of Internal Medicine Chungbuk National University Hospital Cheongju Korea) Seon Mee Park (Department of Internal Medicine Chungbuk National University Hospital Cheongju Korea)

저널정보: 대한소화기내시경학회 Clinical Endoscopy Clinical Endoscopy 제54권 제1호

발행연도: 2021.1

수록면: 122 - 126 (5page)

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Picosulfate solution is widely used as a small volume bowel cleansing agent and is considered to be effective and relatively safe. A case of a 75-year-old woman ingested picosulfate powder and drank a small volume of water, subsequently experienced severe burning pain in the chest. Endoscopy was performed and showed a submucosal hemorrhage and exudative ulcers at the mid to lower esophagus. At 2 weeks, her symptoms improved with conservative treatment. However, liquid food dysphagia developed 11 weeks after ingestion. A follow-up endoscopy revealed multiple esophageal strictures, which were treated with a fully covered metal stent and esophageal balloon dilation. Consequently, the esophageal strictures improved after one year. As this case demonstrates, detailed information about picosulfate powder ingestion after dissolving it in more than 200 mL of water should be presented to patients to avoid esophageal injury.

#Caustic esophageal injury #Esophageal stricture #Patient education #Picosulfate

참고문헌 (17)

참고문헌 신청

Love J / 2009 / A multicentre, observational study of sodium picosulfate and magnesium citrate as a precolonoscopy bowel preparation / Can J Gastroenterol 23:706~710

Hoy SM / 2009 / Sodium picosulfate/magnesium citrate : a review of its use as a colorectal cleanser / Drugs 69:123~136

Suh JP / 2014 / Education and imaging. Gastroenterology : acute mucosal injury of esophagus and stomach induced by sodium picosulfate/magnesium citrate for bowel preparation / J Gastroenterol Hepatol 29:1571

이동석 / 2014 / 피코라이트 산 복용 후 발생한 위점막 열손상의 1예 / Korean Journal of Helicobacter Upper Gastrointestinal Research 14(1):58~60

서재영 / 2015 / Corrosive Esophagitis Caused by Ingestion of Picosulfate / Clinical Endoscopy 48(1):66~69

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