The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Case of Aspiration Pneumonia with Acute Respiratory Distress Syndrome Following Aspiration of Polyethylene Glycol Solution Treated by Bronchoalveolar Lavage

폴리에틸렌글리콜 흡인 후 발생한 폐렴 및 호흡 부전 증후군 1예

  • 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)
  • 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)
  • Received : 2012.04.07
  • Accepted : 2012.07.02
  • Published : 2013.04.01
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Abstract

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.

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.

Keywords

References

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