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结肠镜检查准备导致的肾功能和电解质紊乱。

Colonoscopy preparation-induced disorders in renal function and electrolytes.

作者信息

Florentin Matilda, Liamis George, Elisaf Moses S

机构信息

Matilda Florentin, George Liamis, Moses S Elisaf, Department of Internal Medicine, School of Medicine, University of Ioannina, 45110 Ioannina, Greece.

出版信息

World J Gastrointest Pharmacol Ther. 2014 May 6;5(2):50-4. doi: 10.4292/wjgpt.v5.i2.50.

Abstract

Colonoscopy and flexible sigmoidoscopy are commonly used mainly for colon cancer screening and detection, but also in several other situations such as inflammatory bowel disease (for diagnosis and follow up) and gastrointestinal hemorrhage. Bowel cleansing preparations mainly include polyethylene glycol and oral sodium phosphate solutions, with the later being most frequently used due to better toleration from patients. Despite their favourable safety profile these agents have been associated with renal function deterioration and electrolyte disorders, some of which were serious or even fatal. The present paper discusses the complications associated with colonoscopy preparation agents.

摘要

结肠镜检查和乙状结肠镜检查通常主要用于结肠癌筛查和检测,但也用于其他几种情况,如炎症性肠病(用于诊断和随访)以及胃肠道出血。肠道清洁制剂主要包括聚乙二醇和口服磷酸钠溶液,由于患者耐受性较好,后者使用最为频繁。尽管这些制剂具有良好的安全性,但它们与肾功能恶化和电解质紊乱有关,其中一些情况严重甚至致命。本文讨论了与结肠镜检查准备制剂相关的并发症。

相似文献

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Comparison of oral sodium phosphate to polyethylene glycol-based solution for bowel preparation for colonoscopy in children.
J Pediatr Gastroenterol Nutr. 1996 Dec;23(5):586-90. doi: 10.1097/00005176-199612000-00013.

引用本文的文献

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Optimal and safe bowel preparation for colonoscopy.结肠镜检查的最佳和安全肠道准备
Clin Endosc. 2013 May;46(3):219-23. doi: 10.5946/ce.2013.46.3.219. Epub 2013 May 31.
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Phosphate nephropathy.
Am J Gastroenterol. 2008 Mar;103(3):807. doi: 10.1111/j.1572-0241.2007.01612_11.x.

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