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Esophageal Stricture Caused by the Ingestion of Undissolved Picosulfate Powder
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 per...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Gastrointestinal Endoscopy
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7939778/ https://www.ncbi.nlm.nih.gov/pubmed/32176843 http://dx.doi.org/10.5946/ce.2019.206 |
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author | Kim, Daehyun Cho, Byungha Choi, Jong Wook Kim, Ki Bae Park, Seon Mee |
author_facet | Kim, Daehyun Cho, Byungha Choi, Jong Wook Kim, Ki Bae Park, Seon Mee |
author_sort | Kim, Daehyun |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-7939778 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Korean Society of Gastrointestinal Endoscopy |
record_format | MEDLINE/PubMed |
spelling | pubmed-79397782021-03-16 Esophageal Stricture Caused by the Ingestion of Undissolved Picosulfate Powder Kim, Daehyun Cho, Byungha Choi, Jong Wook Kim, Ki Bae Park, Seon Mee Clin Endosc Case Report 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. Korean Society of Gastrointestinal Endoscopy 2021-01 2020-03-16 /pmc/articles/PMC7939778/ /pubmed/32176843 http://dx.doi.org/10.5946/ce.2019.206 Text en Copyright © 2021 Korean Society of Gastrointestinal Endoscopy This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Kim, Daehyun Cho, Byungha Choi, Jong Wook Kim, Ki Bae Park, Seon Mee Esophageal Stricture Caused by the Ingestion of Undissolved Picosulfate Powder |
title | Esophageal Stricture Caused by the Ingestion of Undissolved Picosulfate Powder |
title_full | Esophageal Stricture Caused by the Ingestion of Undissolved Picosulfate Powder |
title_fullStr | Esophageal Stricture Caused by the Ingestion of Undissolved Picosulfate Powder |
title_full_unstemmed | Esophageal Stricture Caused by the Ingestion of Undissolved Picosulfate Powder |
title_short | Esophageal Stricture Caused by the Ingestion of Undissolved Picosulfate Powder |
title_sort | esophageal stricture caused by the ingestion of undissolved picosulfate powder |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7939778/ https://www.ncbi.nlm.nih.gov/pubmed/32176843 http://dx.doi.org/10.5946/ce.2019.206 |
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