Bowel Preparation Agent –Associated Esophageal and Gastric Complication

A 66-year-old man was referred for gastrointestinal bleeding after a negative upper endoscopy. He underwent a colonoscopy with bowel preparation using sodium picosulfate/magnesium citrate (SPMC). The patient reported having chest discomfort after taking the first dose of SPMC. The colonoscopy suggested small-bowel bleeding and an enteroscopy was performed. Mucosal necrosis of the middle to lower esophagus (Figure A) and linear erythema in the proximal stomach (Figure B and Video 1) was found during enteroscopy.
Source: Clinical Gastroenterology and Hepatology - Category: Gastroenterology Authors: Tags: Electronic Image of the Month Source Type: research