대장정결을 위해 Polyethylene Glycol (ColyteⓇ)을 복용한 후 발생한 Boerhaave 증후군 1예 |
김치훈·박종환·김민웅·강화미·윤지훈·김석훈·정재훈·김형욱·박승근·박희욱 |
메리놀병원 내과 |
A Case of Boerhaave's Syndrome after Bowel Preparation with Polyethylene Glycol |
Chi Hoon Kim, M.D., Jong Hwan Park, M.D., Min Woong Kim, M.D., Hwa Mi Kang, M.D., Ji Hoon Yoon, M.D., Suk Hun Kim, M.D., Jae Hoon Jeong, M.D., Hyung Wook Kim, M.D., Seung Keun Park, M.D. and Hee Ug Park, M.D. |
Department of Internal Medicine, Maryknoll Hospital, Busan, Korea |
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Abstract |
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Polyethylene glycol (ColyteⰒ) 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. (Korean J Gastrointest Endosc 2005;31:315319) |
Key Words:
Esophageal rupture, Boerhaave's syndrome, ColyteⰒ, Colonoscopy, Preparation |
주요어:
식도 파열, Boerhaave 증후군, ColyteⰒ, 대장내시경, 대장정결 |
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