Fansiwala Kush, Prakash Preeti, Coe Christopher L, Weiss Guy A
Vatche and Tamar Manoukian Division of Digestive Diseases, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
Department of Hospital Medicine, Massachusetts General Hospital, Boston, MA, USA.
Case Rep Gastroenterol. 2024 Mar 27;18(1):176-180. doi: 10.1159/000538158. eCollection 2024 Jan-Dec.
Polyethylene glycol 3,350 and electrolytes is a commonly prescribed bowel regimen for colonoscopy preparation with an overall excellent safety profile, though prior reports have demonstrated risk of volume overload.
A 55-year-old man with significant cardiopulmonary co-morbidities was admitted for acute hypoxic respiratory failure and subsequent evaluation for lung transplant. As part of his pretransplant evaluation, colon cancer screening was advised. Despite multiple days of bowel preparation, his stools contained sediment. Unfortunately, he developed pulmonary edema due to prolonged bowel preparation.
While bowel preparation is considered generally safe, our case report highlights the importance of judicious use with monitoring in high-risk individuals.
聚乙二醇3350和电解质是结肠镜检查准备中常用的肠道准备方案，总体安全性良好，尽管先前的报告显示存在容量超负荷风险。
一名患有严重心肺合并症的55岁男性因急性低氧性呼吸衰竭入院，随后接受肺移植评估。作为移植前评估的一部分，建议进行结肠癌筛查。尽管进行了多天的肠道准备，他的粪便仍含有沉淀物。不幸的是，由于长时间的肠道准备，他出现了肺水肿。
虽然肠道准备通常被认为是安全的，但我们的病例报告强调了在高危个体中谨慎使用并进行监测的重要性。
