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Related Experiment Videos

[Haemorrhagic colitis after colonoscopy].

M Grenet1, D Tsouria, G Desseaux

  • 1Service de réanimation chirurgicale, hôpital Victor-Provo, boulevard Lacordaire, BP 359, 59056 Roubaix cedex 1, France.

Annales Francaises D'Anesthesie Et De Reanimation
|May 26, 2004
PubMed
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A woman developed acute hemorrhagic colitis after a colonoscopy, likely due to glutaraldehyde used for endoscope disinfection. She fully recovered without further intervention.

Area of Science:

  • Gastroenterology
  • Endoscopy
  • Toxicology

Background:

  • Colonoscopy is a common diagnostic procedure.
  • Proper disinfection of endoscopic equipment is crucial to prevent complications.
  • Ambulatory anesthesia is frequently used for patient comfort during colonoscopies.

Observation:

  • A 43-year-old woman presented with acute hemorrhagic colitis.
  • Symptoms occurred shortly after undergoing a colonoscopy with ambulatory anesthesia.
  • The colitis was diagnosed as likely glutaraldehyde-induced.

Findings:

  • Glutaraldehyde, a high-level disinfectant for endoscopes, was implicated as the causative agent.
  • The patient experienced acute hemorrhagic colitis, a severe inflammation of the colon.

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  • The condition resolved spontaneously, indicating a self-limiting course.

    • Implications:

    • This case highlights a potential adverse effect of endoscope disinfection chemicals.
    • It underscores the importance of meticulous disinfection protocols to prevent chemical-induced colitis.
    • Further investigation into alternative disinfectants or improved rinsing techniques may be warranted.