The Korean Journal of Medicine

  • 제84권4호
  • /
  • Pages.541-544
  • /
  • 2013
  • /
  • 1738-9364(pISSN)
  • /
  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
권호 표지
DOI QR코드

DOI QR Code

폴리에틸렌글리콜 흡인 후 발생한 폐렴 및 호흡 부전 증후군 1예

A Case of Aspiration Pneumonia with Acute Respiratory Distress Syndrome Following Aspiration of Polyethylene Glycol Solution Treated by Bronchoalveolar Lavage

  • 엄유진 (경희대학교 의학전문대학원-의과대학 내과학교실) ;
  • 장재영 (경희대학교 의학전문대학원-의과대학 내과학교실) ;
  • 김정욱 (경희대학교 의학전문대학원-의과대학 내과학교실) ;
  • 신아리 (경희대학교 의학전문대학원-의과대학 내과학교실) ;
  • 김혁 (경희대학교 의학전문대학원-의과대학 내과학교실) ;
  • 조용덕 (경희대학교 의학전문대학원-의과대학 내과학교실) ;
  • 장영운 (경희대학교 의학전문대학원-의과대학 내과학교실)
  • Um, Yu Jin (Department of Internal Medicine, Kyung Hee University School of Medicine) ;
  • Jang, Jae Young (Department of Internal Medicine, Kyung Hee University School of Medicine) ;
  • Kim, Jung-Wook (Department of Internal Medicine, Kyung Hee University School of Medicine) ;
  • Shin, A Ri (Department of Internal Medicine, Kyung Hee University School of Medicine) ;
  • Kim, Hyuck (Department of Internal Medicine, Kyung Hee University School of Medicine) ;
  • Cho, Young Duck (Department of Internal Medicine, Kyung Hee University School of Medicine) ;
  • Chang, Young Woon (Department of Internal Medicine, Kyung Hee University School of Medicine)
  • 투고 : 2012.04.07
  • 심사 : 2012.07.02
  • 발행 : 2013.04.01
⟨ 이전 논문 다음 논문 ⟩

초록

Polyethylene glycol (PEG) 용액을 이용한 대장 전 처치는 비교적 안전하지만 드물게 치명적인 합병증이 발생할 수 있다. 그 중에서 PEG 용액의 흡인에 의한 폐렴 및 급성호흡곤란증후군은 아주 드문 경우로 저자들은 대장 내시경 검사를 위해서 PEG 용액을 복용한 후 발생한 흡인성폐렴 및 급성호흡곤란증후군에서 기관지폐포세척술과 스테로이드 치료로 극적인 호전이 있었던 증례를 문헌고찰과 함께 보고한다.

Colonoscopy requires adequate cleaning of the entire colon. Polyethylene glycol (PEG) is a popular laxative regimen because of the ease of applicability and optimal bowel preparation results. Although the safety and efficacy of this solution is well established, serious complications from the bowel PEG-cleansing procedure have been reported. Here, we report a case of a 79-year-old male who developed aspiration pneumonia with acute respiratory distress syndrome after administration of PEG by mouth before a scheduled colonoscopy. He was treated successfully with bronchoalveolar lavage and corticosteroids.

키워드

참고문헌

  1. Wexner SD, Beck DE, Baron TH, et al. A consensus document on bowel preparation before colonoscopy: prepared by a task force from the American Society of Colon and Rectal Surgeons (ASCRS), the American Society for Gastrointestinal Endoscopy (ASGE), and the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES). Dis Colon Rectum 2006;49:792-809. https://doi.org/10.1007/s10350-006-0536-z
  2. Santoro MJ, Chen YK, Collen MJ. Polyethylene glycol electrolyte lavage solution-induced Mallory-Weiss tears. Am J Gastroenterol 1993;88:1292-1293.
  3. Eisen GM, Jowell PS. Esophageal perforation after ingestion of colon lavage solution. Am J Gastroenterol 1995;90:2074.
  4. Heo C, Oh HC, Kim JW, Kim JG. Acute hyponatremic encephalopathy after ingestion of polyethylene glycol solution before colonoscopy. Korean J Gastrointest Endosc 2009;39:169-171.
  5. Narsinghani U, Chadha M, Farrar HC, Anand KS. Lifethreatening respiratory failure following accidental infusion of polyethylene glycol electrolyte solution into the lung. J Toxicol Clin Toxicol 2001;39:105-107. https://doi.org/10.1081/CLT-100102888
  6. Hur GY, Lee SY, Shim JJ, In KH, Kang KH, Yoo SH. Aspiration pneumonia due to polyethylene glycol-electrolyte solution (Golytely) treated by bronchoalveolar lavage. Respirology 2008;13:152-154. https://doi.org/10.1111/j.1440-1843.2007.01209.x
  7. Marschall HU, Bartels F. Life-threatening complications of nasogastric administration of polyethylene glycol-electrolyte solutions (Golytely) for bowel cleansing. Gastrointest Endosc 1998;47:408-410. https://doi.org/10.1016/S0016-5107(98)70229-9
  8. De Graaf P, Slagt C, de Graaf JL, Loffeld RJ. Fatal aspiration of polyethylene glycol solution. Neth J Med 2006;64:196-198.
  9. Davis GR, Santa Ana CA, Morawski SG, Fordtran JS. Development of a lavage solution associated with minimal water and electrolyte absorption or secretion. Gastroenterology 1980;78(5 Pt 1):991-995.
  10. Paap CM, Ehrlich R. Acute pulmonary edema after polyethylene glycol intestinal lavage in a child. Ann Pharmacother 1993;27:1044-1047. https://doi.org/10.1177/106002809302700905

피인용 문헌

  1. Management of polyethylene glycol solution aspiration using bronchoscopic lavage in a dog vol.34, pp.3, 2020, https://doi.org/10.1111/jvim.15784