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Clin Endosc. 2015 Jan;48(1):66-9. doi: 10.5946/ce.2015.48.1.66. Epub 2015 Jan 31.

Corrosive esophagitis caused by ingestion of picosulfate.

Clinical endoscopy

Jae Yong Seo, Ki Joo Kang, Ho Suk Kang, Seong Eun Kim, Ji Won Park, Sung Hoon Moon, Jong Hyeok Kim, Choong Kee Park

Affiliations

  1. Division of Gastroenterology, Department of Internal Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea.

PMID: 25674529 PMCID: PMC4323436 DOI: 10.5946/ce.2015.48.1.66

Abstract

Corrosive esophagitis is characterized by caustic injury due to the ingestion of chemical agents, mainly alkaline substances such as detergents. Esophageal bleeding, perforation, or stricture can be worsened by high-degree corrosive esophagitis. Picosulfate is a commonly used laxative frequently administered for bowel preparation before colonoscopy or colon surgery. Picosulfate powder should be completely dissolved in water before ingestion because the powder itself may cause chemical burning of the esophagus and stomach. Here, we report a case of corrosive esophagitis due to the ingestion of picosulfate powder that was not completely dissolved in water.

Keywords: Caustics; Esophagitis; Picosulfate

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