Publication: Symptomatic Hyponatremia following Bowel Preparation for Colonoscopy: A Case Report
Date
2020
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract:
Colonoscopy is considered a gold standard tool for the diagnostic evaluation of colorectal diseases. Bowel preparation, a pre-requisite for colonoscopy, usually involves ingestion of purgatives for the cleansing of the bowel so that visualization is not obscured during the procedure. Commonly used preparations are sodium phosphate-based solutions, sodium picosulphate and polyethylene glycol. The use of such preparations is associated with electrolyte disturbances, commonly hyponatremia. Hyponatremia is usually seen with sodium phosphate based solutions and is rare with polyethylene glycol. Symptomatic hyponatremia, however, is rare following bowel preparation and is attributable to other factors as well, such as the age of patient, non-osmotic release of antidiuretic hormone and the procedure itself. In this report, we discuss a case of severe symptomatic hyponatremia observed in a 71-year-old gentleman who underwent polyethylene glycol based bowel preparation for colonoscopy.
Description
Pramesh Sunder Shrestha
Department of Anaesthesiology, Maharajgunj Medical Campus, Maharjgunj, Kathmandu, Nepal
Utsav Acharya
Department of Anaesthesiology, Maharajgunj Medical Campus, Maharjgunj, Kathmandu, Nepal
https://orcid.org/0000-0002-4372-9868
Bipin Karki
Department of Critical Care Medicine, Om Hospital and Research Centre, Chabahil, Kathmandu, Nepal
https://orcid.org/0000-0001-6218-9716
Rahul Pathak
Department of Gastroenterology, Maharajgunj Medical Campus, Maharjgunj, Kathmandu, Nepal
Subhash Prasad Acharya
Department of Anaesthesiology, Maharajgunj Medical Campus, Maharjgunj, Kathmandu, Nepal
https://orcid.org/0000-0003-1596-0496
Keywords
colonoscopy, colorectal disease, hyponatremia, polyethylene glycol