Journal of Yeungnam Medical Science

Yeungnam University College of Medicine, Yeungnam University Institute Medical Science (영남대 의대 학술지 편집위원회)
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A Case of Huge Gastric Bezoar Removed by Endoscopic Combination Therapy with Coca-Cola Injection

코카콜라 주입 치료를 병용하여 내시경으로 분쇄 치료한 거대 위석 1예

  • Jung, Min Suk (Department of Internal Medicine, Wallace Memorial Baptist Hospital) ;
  • Lee, Jang Won (Department of Internal Medicine, Wallace Memorial Baptist Hospital) ;
  • Lee, Seung Hyun (Department of Internal Medicine, Wallace Memorial Baptist Hospital) ;
  • Kim, Dong Hyun (Department of Internal Medicine, Wallace Memorial Baptist Hospital) ;
  • Byun, Sang Hwan (Department of Internal Medicine, Wallace Memorial Baptist Hospital) ;
  • Kim, Yeong Muk (Department of Internal Medicine, Wallace Memorial Baptist Hospital)
  • 정민석 (왈레스기념 침례병원 내과) ;
  • 이장원 (왈레스기념 침례병원 내과) ;
  • 이승현 (왈레스기념 침례병원 내과) ;
  • 김동현 (왈레스기념 침례병원 내과) ;
  • 변상환 (왈레스기념 침례병원 내과) ;
  • 김영묵 (왈레스기념 침례병원 내과)
  • Received : 2012.09.17
  • Accepted : 2013.04.29
  • Published : 2013.06.30
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Abstract

Gastric bezoars are concretion of undigested material in the gastrointestinal tract. In the past, gastric bezoars were generally treated with surgical management. Recently, the efficacy of oral intake or endoscopic injection therapy with Coca-Cola has been reported. We report a case of a 47-year-old-man with huge gastric bezoar ($4{\times}2.5$ cm) that was successfully removed by endoscopic fragmentation with Coca-Cola injection. Compared with a single endoscopic fragmentation therapy, the combination therapy with Coca-Cola injection shortened the procedure time and reduced the complication associated with fragmented bezoar.

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