Aspiration pneumonia due to polyethylene glycol-electrolyte solution (Golytely) treated by bronchoalveolar lavage.
Polyethylene glycol (PEG)-electrolyte solution (Golytely), is most commonly used for bowel preparation before colonoscopy, as well as for barium enema and colon surgery. In this case, a 70-year-old man developed ARDS following the administration of Golytely by mouth before a scheduled colonoscopy. Aspiration of PEG-electrolyte solution was suspected, and the patient was successfully treated by BAL. Therefore, early bronchoscopy and BAL should be considered as initial treatment for PEG aspiration, because removal of PEG is most important for managing the disease.
Hur
Gyu-Young
GY
Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, College of Medicine, Korea University, Seoul, Korea.
Lee
Sung-Yong
SY
Shim
Jae-Jeong
JJ
In
Kwang-Ho
KH
Kang
Kyung-Ho
KH
Yoo
Se-Hwa
SH
D000284:Administration, Oral; D000368:Aged; D018893:Bronchoalveolar Lavage; D004573:Electrolytes / Q000008:administration & dosage / Q000009:adverse effects*; D006801:Humans; D008297:Male; D011015:Pneumonia, Aspiration / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D011092:Polyethylene Glycols / Q000008:administration & dosage / Q000009:adverse effects*
D004573:Electrolytes; C033608:Golytely; D011092:Polyethylene Glycols