Bigard M A, Gaucher P, Lassalle C
Gastroenterology. 1979 Dec;77(6):1307-10.
A patient is described who sustained the first reported colonic explosion during colonoscopic polypectomy. Mannitol solution was used for bowel preparation, and the colon was completely clean. During snare removal of a cecal polyp using high-frequency current a loud explosion occurred. In spite of emergency surgery with transfusion of 45 units of blood, uncontrollable hemorrhage persisted from multiple bleeding points, and the patient died. This occurrence seems to us to justify the routine use of carbon dioxide insufflation during polypectomy and the avoidance of mannitol for bowel preparation.
本文描述了一名患者，其在结肠镜息肉切除术中发生了首例有报道的结肠爆炸。使用甘露醇溶液进行肠道准备，结肠完全清洁。在使用高频电流圈套切除盲肠息肉的过程中发生了巨大爆炸。尽管进行了紧急手术并输注了45单位血液，但多个出血点仍持续出现无法控制的出血，患者最终死亡。在我们看来，这一事件证明了息肉切除术中常规使用二氧化碳充气以及避免使用甘露醇进行肠道准备的合理性。
