Esophageal Stricture Caused by the Ingestion of Undissolved Picosulfate Powder
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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.
Abstract
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.
참고문헌 (17)
- Love J, "A multicentre, observational study of sodium picosulfate and magnesium citrate as a precolonoscopy bowel preparation", Can J Gastroenterol, 23, pp.706~710 (2009)
- Hoy SM, "Sodium picosulfate", magnesium citrate : a review of its use as a colorectal cleanser, 2009, pp.69, 123~136
- Suh JP, "Education and imaging. Gastroenterology : acute mucosal injury of esophagus and stomach induced by sodium picosulfate", magnesium citrate for bowel preparation, 2014, pp.29, 1571~
- 이동석, "피코라이트 산 복용 후 발생한 위점막 열손상의 1예", Korean Journal of Helicobacter Upper Gastrointestinal Research, 14(1), pp.58~60 (2014), 대한상부위장관ㆍ헬리코박터학회[DOI]
- 서재영, "Corrosive Esophagitis Caused by Ingestion of Picosulfate", Clinical Endoscopy, 48(1), pp.66~69 (2015), 대한소화기내시경학회
- 김경보, "Upper airway obstruction resulting from acute mucosal injury induced by direct ingestion of sodium picosulfate", magnesium citrate powder, 2016, pp.3(2), 109~111[DOI]
- 제은영, "Acute Gastric Injury Caused by Undissolved Sodium Picosulfate", Magnesium Citrate Powder, 2017, pp.50(1), 87~90[DOI]
- Yang DH, "A case of thermal esophageal injury induced by sodium picosulfate with magnesium citrate", Case Rep Gastrointest Med, 2017, pp.9879843~ (2017)
- Poley JW, "Ingestion of acid and alkaline agents : outcome and prognostic value of early upper endoscopy", Gastrointest Endosc, 60, pp.372~377 (2004)
- Hollenbach M, "Endoscopic findings and outcome in caustic ingestion of acidic and alkaline agents in adults: a retrospective analysis", Medicine(Baltimore), 98, pp.e16729~ (2019)
- Zargar SA, "The role of fiberoptic endoscopy in the management of corrosive ingestion and modified endoscopic classification of burns", Gastrointest Endosc, 37, pp.165~169 (1991)
- Katz A, "Caustic material ingestion injuries-paradigm shift in diagnosis and treatment", Health Care Curr Rev, 3, pp.152~ (2015)
- Ryu HH, "Caustic injury: can CT grading system enable prediction of esophageal stricture?", Clin Toxicol (Phila), 48, pp.137~142 (2010)
- Methasate A, "Role of endoscopy in caustic injury of the esophagus", World J Gastrointest Endosc, 10, pp.274~282 (2018)
- Tharavej C, "Outcome of dilatation and predictors of failed dilatation in patients with acid-induced corrosive esophageal strictures", Surg Endosc, 32, pp.900~907 (2018)
- Chirica M, "Caustic ingestion", Lancet, 389, pp.2041~2052 (2017)
- Siersema PD, "How to approach a patient with refractory or recurrent benign esophageal stricture", Gastroenterology, 156, pp.7~1 (2019)