Intended for healthcare professionals


Fatal dysnatraemia caused by elective colonoscopy: Lesson was unnecessarily alarmist

BMJ 2003; 326 doi: (Published 22 May 2003) Cite this as: BMJ 2003;326:1146
  1. Brian P Saunders, consultant physician (,
  2. Christopher B Williams, consultant endoscopist
  1. St Mark's Hospital, Northwick Park, Harrow, Middlesex HA1 3UJ

    EDITOR—The lesson given for Ayus et al's report of fatal dysnatraemia caused by elective colonoscopy was that plasma sodium concentration should always be checked after colonoscopy.1 We speculate that this strongly worded advice may have been added by your editorial team, in our opinion entirely without warrant and also against the carefully worded discussion and conclusions of the authors.

    The …

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