{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,5,1]],"date-time":"2023-05-01T07:27:11Z","timestamp":1682926031728},"reference-count":0,"publisher":"Ordem dos Medicos","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Med Port"],"abstract":"<jats:p>Introduction: Bowel preparation for colonoscopy and\/or colorectal surgery can cause electrolyte imbalances. The risk of electrolyte\u00a0imbalances seems to be related to the type of bowel cleansing solution, age of patients and comorbidities.Case Report: We report two cases of symptomatic hyponatremia (focal neurological signs and coma) after bowel preparation with\u00a0sodium picosulfate\/magnesium citrate for colonoscopy. In both cases, symptoms related to hyponatremia rapidly disappeared after\u00a0sodium level correction with intravenous administration of hypertonic saline (3% NaCl).Discussion: Electrolyte imbalances are more common with sodium phosphate-based solutions (NaP) and sodium picosulfate\/magnesium citrate, in patients older than 65, in patients treated with thiazide diuretics, angiotensin-converting-enzyme inhibitor, betablockers\u00a0or antidepressants and in gastrectomized patients. These patients should use macrogol-based solutions (polyethylene glycol).Conclusion: In patients at risk (patient &gt; 65 years old, patients taking thiazide diuretics, angiotensin-converting-enzyme inhibitors,\u00a0beta-blockers and antidepressants and with previous gastrectomy) we recommend macrogol-based solutions.<\/jats:p>","DOI":"10.20344\/amp.8794","type":"journal-article","created":{"date-parts":[[2017,11,30]],"date-time":"2017-11-30T21:35:04Z","timestamp":1512077704000},"page":"824-826","source":"Crossref","is-referenced-by-count":5,"title":["Symptomatic Hyponatremia after Bowel Preparation: Report of Two Cases and Literature Review"],"prefix":"10.20344","volume":"30","author":[{"given":"Juliana Moura","family":"Costa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo\u00e3o Bruno","family":"Soares","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"8464","published-online":{"date-parts":[[2017,11,29]]},"container-title":["Acta M\u00e9dica Portuguesa"],"original-title":[],"link":[{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/8794\/5248","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/8794\/5248","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,25]],"date-time":"2022-10-25T08:42:20Z","timestamp":1666687340000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/view\/8794"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,11,29]]},"references-count":0,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2017,11,29]]}},"URL":"https:\/\/doi.org\/10.20344\/amp.8794","relation":{},"ISSN":["1646-0758","0870-399X"],"issn-type":[{"value":"1646-0758","type":"electronic"},{"value":"0870-399X","type":"print"}],"subject":[],"published":{"date-parts":[[2017,11,29]]}}}