A Case of Ischemic Colitis by Oral Sulfate Free-Polyethylene Glycol.
- Author:
Jung Hyun YOU
1
;
Sun Taek CHOI
;
Dong Hee KIM
;
Dong Wook LEE
;
You Min KIM
;
Hae Young LEE
Author Information
1. Department of Internal Medicine, Pohang Saint Mary's Hospital, Pohang, Korea. stigma1026@hanmail.net
- Publication Type:Case Report
- Keywords:
Colitis, Ishemic;
Polyethylene Glycol;
Constipation;
Colonoscopy
- MeSH:
Aged;
Atherosclerosis;
Colitis, Ischemic;
Colon;
Colonoscopy;
Constipation;
Contraceptives, Oral;
Diuretics;
Heart Failure;
Humans;
Hypovolemia;
Ischemia;
Laxatives;
Polyethylene Glycols;
Pseudoephedrine;
Vasculitis
- From:Intestinal Research
2009;7(2):129-132
- CountryRepublic of Korea
- Language:Korean
-
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(R)) 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.