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Intestinal Research 2009;7(2):129-132.
Published online December 30, 2009.
A Case of Ischemic Colitis by Oral Sulfate Free-Polyethylene Glycol
Jung Hyun You, Sun Taek Choi, Dong Hee Kim, Dong Wook Lee, You Min Kim, Hae Young Lee
Department of Internal Medicine, Pohang Saint Mary's Hospital, Pohang, Korea
대장내시경 전처치로 Sulfate Free-Polyethylene Glycol 복용 후 발생한 허혈성 대장염 1예
유정현, 최선택, 김동희, 이동욱, 김유민, 이혜영
포항성모병원 내과
Abstract
Ischemic colitis is the most common form of gastrointestinal ischemia. Factors that can contribute to the development of ischemic colitis include atherosclerosis, congestive heart failure, sustained hypovolemia, vasculitis, and mechanical colonic obstruction. Also, pharmacologic agents, including diuretics, pseudoephedrine, non-steroidal anti-inflammatory drugs, and oral contraceptives may be the cause of colonic ischemia. Oral sulfate-free polyethylene glycol (SF-PEG, Colyte-F) has frequently been used as a cleaning agent in bowel preparation for colonoscopy. Some cases of ischemic colitis produced by oral hyperosmotic laxatives have been reported; however, no case has been reported regarding ischemic colitis caused by SF-PEG. Herein we report a rare case of ischemic colitis caused by oral sulfate-free polyethylene glycol, which was given for bowel preparation before colonoscopy in a 70-year-old man with chronic constipation. (Intest Res 2009;7:129-132)
Key Words: Colitis, Ishemic, Polyethylene Glycol, Constipation, Colonoscopy
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