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Glutaraldehyde-induced colitis: three case reports
Oya Ovünç Kurdaş1, Mesut Sezikli, Züleyha Akkan Cetinkaya
1Gastroenterohepatology Department, Haydarpaşa Numune Research and Education Hospital, Usküdar, Istanbul, Turkey.
Summary
Glutaraldehyde disinfectant can cause colitis if it contacts the colon. Thoroughly rinsing endoscopes after disinfection prevents this rare complication, which resolves with supportive care.
Area of Science:
- Gastroenterology
- Medical Devices
- Infectious Disease Control
Background:
- Glutaraldehyde is a common disinfectant for endoscopic instruments.
- Proper disinfection is crucial for patient safety during colonoscopy.
- Rare complications of medical procedures require careful documentation.
Observation:
- Three cases of colitis were observed following colonoscopy procedures.
- Patients presented with symptoms of colitis after endoscope use.
- Histological examination confirmed colitis in affected patients.
Findings:
- Direct contact between glutaraldehyde solution and colonic mucosa caused self-limited colitis.
- The colitis resolved in all reported cases with supportive treatment.
- Thorough rinsing of endoscopes is essential to prevent glutaraldehyde exposure.
Implications:
- Highlights a rare but significant complication of colonoscopy.
- Emphasizes the importance of meticulous endoscope reprocessing protocols.
- Informs clinicians about potential iatrogenic causes of colitis.
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