Pre-colonoscopy bowel preparation intolerance: a sign of upper gastrointestinal pathology.
Severe vomiting and abdominal pain were precipitated by polyethylene glycol-based gut lavage (PEG) in two patients out of 585 referred for colonoscopy in a 2 year period. Both patients had primary adenocarcinoma of the large bowel but both were also found to have gastroduodenal problems severe enough to need surgical treatment. Both cases are presented.
Department of Colorectal Surgery, Cleveland Clinic Foundation, Ohio 44195-5044.
J M
JM
Church
D000230:Adenocarcinoma / Q000175:diagnosis; D000328:Adult; D002430:Cecal Neoplasms / Q000175:diagnosis; D003113:Colonoscopy; D005260:Female; D005751:Gastric Lavage / Q000009:adverse effects*; D006801:Humans; D007889:Leiomyoma / Q000150:complications* / Q000175:diagnosis; D008207:Lymphatic Metastasis; D008297:Male; D008643:Mesentery; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000150:complications* / Q000175:diagnosis; D011092:Polyethylene Glycols; D012004:Rectal Neoplasms / Q000175:diagnosis; D013274:Stomach Neoplasms / Q000150:complications* / Q000175:diagnosis; D014839:Vomiting / Q000209:etiology*
D011092:Polyethylene Glycols