대장정결을 위해 Polyethylene Glycol (Colyte？)을 복용한 후 발생한 Boerhaave 증후군 1예
A Case of Boerhaave’s Syndrome after Bowel Preparation with Polyethylene Glycol
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Polyethylene glycol 전해질 용액(ColyteⓇ)은 대장내시경과 수술을 위한 대장정결에 널리 쓰이고 있다. Polyethylene glycol의 사용과 관련하여 오심, 복부팽만감 등과 같은 경미한 합병증들은 매우 흔한 것으로 보고되어 있다. 하지만 Mallory-Weiss 증후군, 식도파열, 심장무수축, 폐흡인으로 인한 사망 등의 심각한 합병증도 드물게 발생한다. 자발성 식도 파열(Boerhaave 증후군)은 상당히 드물게 발생하며 비특이적인 다양한 증상으로 정확하게 진단하기 어려운 경우가 많다. 식도 파열의 사망률은 식도 파열 후 치료에 이르는 시간에 비례하여, 치료가 늦어질 경우 치명적인 결과를 초래한다. 저자 등은 대장정결을 위해 PEG 용액을 복용한 후 발생한 자발성 식도 파열 1예를 경험하였기에 문헌고찰과 함께 보고한다.
Abstract
Polyethylene glycol (Colyte ) electrolyte lavage solution is widely used for bowel preparataion before colonoscopy and surgery. The minor complications associated with PEG solution, i.e., nausea and bloating have been reported on. However, major complications such as PEG electrolyte lavage solution-induced Mallory-Weiss tear, esophageal rupture, asystole and aspiration have rarely been reported on. Spontaneous rupture of the esophagus (Boerhaave's syndrome) is a very rare disease and it is often diagnosed late or it is misdiagnosed because of the atypical clinical symptoms. Its mortality increases proportionally to the time between esophageal rupture and treatment. It can cause a fatal outcome unless it is treated early. We authors report here on a case of spontaneous esophageal rupture after bowel preparation with polyethylene glycol.
참고문헌 (20)
- "Development of lavage solution associated with minimal water and electrolyte absorption or secrection", 78, pp.991~995 (1980)
- "Polyethylene glycol electrolyte lavage solution-induced Mallory-Weiss tears", 88, pp.1292~1293 (1993)
- "Two cases of Mallory-Weiss syndrome during bowel preparation for colonoscopy", 23, pp.118~121 (2001)
- "A case report of Boerhaave's syndrome following colonoscopy preparation", 159, pp.708~ (1993)
- "Esophageal perforation after ingestion of colon lavage solution", 90, pp.2074~ (1995)
- "Esophageal perforation associated with polyethylene glycol electrolyte lavage solution", 39, pp.856~857 (1993)
- "Spontaneous rupture of the oesophagus after bowel preparation with polyethylene glycol", 74, pp.176~177 (2004)
- "A case of Boerhaave's syndrome developed during bowel preparation using PEG solution(Colyte)", 68, pp.552~555 (2005)
- "Lavage-induced cardiac asystole", 30, pp.117~ (1984)
- "Life-threatening complications of nasogastric administration of polyethylene glycol-electrolyte solutions(Golytely)for bowel cleansing", 47, pp.408~410 (1998)
- "Atraumatic so-called 'spontaneous' rupture of the esophagus:a review of 47 personal cases with comments on a new method of surgical therapy", 59, pp.67~83 (1970)
- "Spontaneous rupture of the esophagus:Boerhaave's syndrome", 174, pp.319~324 (1971)
- "spontaneous esophageal perforation as a diagnostic masquerader", 86, pp.559~567 (1989)
- "Boerhaave's syndrome:the importance of early diagnosis and treatment", 183, pp.401~408 (1976)
- "Boerhaave's syndrome", 73, pp.265~270 (1997)
- "Diagnosis and management of spontaneous transmural rupture of the oesophagus(Boerhaave's syndrome)", 72, pp.204~207 (1985)
- "Oesophageal perforation", 22, pp.607~613 (1984)
- "Computed tomography in patients with esophageal perforation", 98, pp.1078~1080 (1990)
- "Treatment of oesophageal perforation:a multivariate analysis", 78, pp.582~585 (1991)
- "Diagnosis and recommended management of esophageal perforation and rupture", 42, pp.235~239 (1986)