Publication
Symptomatic Hyponatremia after Bowel Preparation: Report of Two Cases and Literature Review
| dc.contributor.author | Costa, JM | |
| dc.contributor.author | Soares, JB | |
| dc.date.accessioned | 2018-02-16T15:14:25Z | |
| dc.date.available | 2018-02-16T15:14:25Z | |
| dc.date.issued | 2017-11-29 | |
| dc.description.abstract | INTRODUCTION: Bowel preparation for colonoscopy and/or colorectal surgery can cause electrolyte imbalances. The risk of electrolyte imbalances seems to be related to the type of bowel cleansing solution, age of patients and comorbidities. CASE REPORT: We report two cases of symptomatic hyponatremia (focal neurological signs and coma) after bowel preparation with sodium picosulfate/magnesium citrate for colonoscopy. In both cases, symptoms related to hyponatremia rapidly disappeared after sodium level correction with intravenous administration of hypertonic saline (3% NaCl). DISCUSSION: Electrolyte imbalances are more common with sodium phosphate-based solutions (NaP) and sodium picosulfate/magnesium citrate, in patients older than 65, in patients treated with thiazide diuretics, angiotensin-converting-enzyme inhibitor, betablockers or antidepressants and in gastrectomized patients. These patients should use macrogol-based solutions (polyethylene glycol). CONCLUSION: In patients at risk (patient > 65 years old, patients taking thiazide diuretics, angiotensin-converting-enzyme inhibitors, beta-blockers and antidepressants and with previous gastrectomy) we recommend macrogol-based solutions | pt_PT |
| dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
| dc.identifier.citation | Acta Med Port. 2017 Nov 29;30(11):824-826. | pt_PT |
| dc.identifier.uri | http://hdl.handle.net/10400.23/1246 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.subject | Catárticos/efeitos adversos | pt_PT |
| dc.subject | Colonoscopia | pt_PT |
| dc.subject | Hiponatrémia | pt_PT |
| dc.title | Symptomatic Hyponatremia after Bowel Preparation: Report of Two Cases and Literature Review | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.issue | 11 | pt_PT |
| oaire.citation.startPage | 824-826 | pt_PT |
| oaire.citation.volume | 30 | pt_PT |
| rcaap.rights | openAccess | pt_PT |
| rcaap.type | article | pt_PT |
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