化学结肠炎（Chemical colitis）.docVIP

化学结肠炎（Chemical colitis） Abstract: chemical colitis can occur due to accidental endoscopic contamination or intentional or accidental administrative enema containing a variety of chemicals. Most of the cases occurred after the accidental contamination of the inner domain with glutaraldehyde and / or hydrogen peroxide. It has been reported by several cases of chemical colitis, causing unintentional management of corrosive chemicals. Intentional administration of caustic enema has been implicated in sexual behavior, bowel cleansing, or attempted suicide. The patient is currently associated with nonspecific symptoms including abdominal pain, rectal bleeding, and / or diarrhea. Chemical colitis is still rare, and the literature includes dispersion reports and small series. This review relates to the chemical agent colitis covered include alcohol, contrast agent, glutaralde - Hyde, formalin, ergotamine, hydrofluoric acid, sulfuric acid, acetic acid, ammonia, sodium hydroxide, hydrogen peroxide, soap, herbal medicine, two potassium chloride solution, Potassium Permanganate. Clinical, endoscopic, and pathological features are outlined for each agent in addition to the available literature. Given the nonspecific presentation of many cases of chemically induced colitis, diagnosis can be challenging if relevant history is not obtained. Most patients showed a resolution of chemically induced colitis after conservative or medical treatment. Depending on the depth and extent of the injury, patients rarely require ischemic colitis and / or peritonitis of the colon. Other postingestion complications include colonic stenosis and rectal fistula. Compared to the benefits of drug therapy, conservative therapies are not known because comparative clinical management trials have not yet been completed. Chemical colitis has been recognized for more than 50 years, and the first report after the soap and hydrogen peroxide enema causes colitis to be published. Since then, 1,2 has reported cas