A fatal complication of colonoscopy due to a stenotic colon cancer: an alert to colleagues

Pedro G. Buiar, Marcela de Rezende Karnikowski
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Abstract

Colonoscopy is the most commonly performed method for Colon Cancer diagnosis and screening. And a successful exam requires bowel preparation. One of the main contraindications of the use of bowel cleansing agents is intestinal mechanical obstruction. But in many scenarios, as in public health services, there is a delay between the medical exam request and the data of the procedure. In some countries, this delay could be of many months. This interval is enough for nonobstructive colon cancer to turn into an obstructive lesion. The intake of bowel cleansing agents in an impending obstructive bowel syndrome could be a catastrophe. This is illustrated by this case report.
狭窄性结肠癌致结肠镜检查的致命并发症:对同事的警告
结肠镜检查是结肠癌诊断和筛查中最常用的方法。一个成功的检查需要肠道准备。使用肠道清洁剂的主要禁忌症之一是肠道机械性梗阻。但在许多情况下,如在公共卫生服务中,在医疗检查请求和程序数据之间存在延迟。在一些国家,这种延迟可能长达数月之久。这段时间足以使非梗阻性结肠癌转变为梗阻性病变。在即将发生的肠阻塞综合征中摄入肠道清洁剂可能是一场灾难。这个病例报告说明了这一点。
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