Schneider R P
Department of Medicine, St. Thomas Hospital, Nashville, TN 37202.
South Med J. 1989 Nov;82(11):1449-50. doi: 10.1097/00007611-198911000-00032.
Perdiem is a bulk laxative (mostly psyllium) formulated as granules; these granules can adhere together and cause esophageal impaction and gastric bezoars. I have reported three cases of esophageal impaction caused by Perdiem. Although endoscopic manipulation is the currently favored treatment, bougienage relieved these impactions easily. One patient also had a gastric bezoar. Doctors and patients need to be aware of this potential complication from Perdiem.
每日轻泻剂是一种散装泻药（主要成分为车前草籽），制成颗粒状；这些颗粒可能会粘在一起，导致食管梗阻和胃结石。我曾报告过3例由每日轻泻剂引起的食管梗阻病例。虽然内镜操作是目前首选的治疗方法，但探条扩张术能轻松缓解这些梗阻。有一名患者还患有胃结石。医生和患者需要意识到每日轻泻剂可能引发的这种并发症。
