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戊二醛诱发的结肠炎:三例报告

Glutaraldehyde-induced colitis: three case reports.

作者信息

Kurdaş Oya Ovünç, Sezikli Mesut, Cetinkaya Züleyha Akkan, Güzelbulut Fatih, Yaşar Bülent, Coşgun Süleyman, Değirmenci Ayça Saltürk

机构信息

Gastroenterohepatology Department, Haydarpaşa Numune Research and Education Hospital, Usküdar, Istanbul, Turkey.

出版信息

Indian J Gastroenterol. 2009 Dec;28(6):221-3. doi: 10.1007/s12664-009-0082-4. Epub 2010 Feb 23.

Abstract

Glutaraldehyde (2% solution) is an effective and widely used disinfecting solution for cold sterilization of endoscopic instruments. Direct contact of glutaraldehyde solution with colonic mucosa can cause self-limited colitis. As it rarely occurs as a complication of colonoscopy, glutaraldehyde-induced colitis is generally reported only as case reports in the literature. We report three cases of glutaraldehyde-induced colitis after colonoscopy. All lesions resolved with supportive treatment. We stress the need for thorough rinsing of the surface and channels of the endoscope with water to avoid the occurrence of this complication.

摘要

戊二醛(2%溶液)是一种用于内镜器械冷消毒的有效且广泛使用的消毒溶液。戊二醛溶液直接接触结肠黏膜可导致自限性结肠炎。由于它很少作为结肠镜检查的并发症出现,戊二醛诱导的结肠炎在文献中通常仅作为病例报告被报道。我们报告了3例结肠镜检查后戊二醛诱导的结肠炎病例。所有病变经支持治疗后均得到缓解。我们强调需要用水彻底冲洗内镜的表面和通道,以避免这种并发症的发生。

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