Abstract

We read with great interest the article by Cammarota et al. [1] and the letter of Coriat et al. [2] on the endoscopic finding of chemical colitis (pseudolipomatosis). Cammarota et al. attributed these mucosal changes to the use of hydrogen peroxide flushes following high-level disinfection with automatic machines using peracetic acid, mainly in examinations performed with Fujinon colonoscopies. Coriat et al. thought the cause was inadequate rinsing of endoscopic channels and surfaces with water after immersion in peracetic acid, presumably causing direct irritation of the mucosa.

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