장 정결 후 발생한 정상 신기능에서의 고마그네슘혈증
Symptomatic Hypermagnesemia in Normal Kidney Function with a Colonic Cleansing Agent
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
.
Abstract
Most reported cases of hypermagnesemia are related to laxative abuse and impaired renal function, while hypermagnesemia is uncommon without iatrogenic magnesium administration and decreased renal function. Magnesium-containing bowel-cleansing agents are widely used before colonoscopy, usually without complications. However, we experienced a case of symptomatic hypermagnesemia with normal renal function after using a bowel-cleansing agent. A 74-year-old man with normal renal function complained of lethargy and motor weakness after taking a bowel-cleansing agent containing 14 grams of magnesium before a colonoscopy for hematochezia. His magnesium level was 12 mg/dL. Fluid stasis in the gut due to colonic obstruction might have caused the hypermagnesemia. He was treated successfully with a bowel enema and intravenous calcium. We should be cautious when prescribing drugs for colonoscopy if colonic obstruction is suspected.
참고문헌 (8)
- ASGE Standards of Practice Committee, "Bowel preparation before colonoscopy", Gastrointest Endosc, 81, pp.781~794 (2015)
- Wexner SD, "A consensus document on bowel preparation before colonoscopy : prepared by a task force from the American Society of Colon and Rectal Surgeons(ASCRS), the American Society for Gastrointestinal Endoscopy(ASGE), and the Society of American Gastrointestinal and Endoscopic Surgeons(SAGES)", Dis Colon Rectum, 49, pp.792~809 (2006)
- Barkun A, "Commonly used preparations for colonoscopy : efficacy, tolerability and safety--a Canadian Association of Gastroenterology position paper", Can J Gastroenterol, 20, pp.699~710 (2006)
- Jahnen-Dechent W, "Magnesium basics", Clin Kidney J, 5(Suppl 1), pp.3~14 (2012)
- Kwak JH, "Hypermagnesemia induced by massive cathartic ingestion", Korean J Med, 75, pp.889~893 (2008)
- 박철홍, "만성 신부전에서 심폐 부전이 동반된 고마그네슘혈증 1예", Kidney Research and Clinical Practice, 27(2), pp.229~233 (2008), 대한신장학회
- 최형오, "Mental Change, Cardiovascular Depression and QT Prolongation Caused by Severe Hypermagnesemia", The Korean Journal of Critical Care Medicine, 23(2), pp.102~105 (2008), 대한중환자의학회
- 윤혜은, "Hypermagnesemia Accompanied with Colonic Perforation in a Hemodialysis Patient", Yonsei Medical Journal, 54(3), pp.797~800 (2013), 연세대학교의과대학[DOI]