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A Huge Gastric Bezoar That Was Removed by Endoscopic Combination Therapy with an Argon Plasma and Coca-Cola Injection  

Kim, Jung-Hoon (Department of Internal Medicine, Ilsan Paik Hospital, Inje University College of Medicine)
Bae, Won-Ki (Department of Internal Medicine, Ilsan Paik Hospital, Inje University College of Medicine)
Lee, Hyoung-Don (Department of Internal Medicine, Ilsan Paik Hospital, Inje University College of Medicine)
Park, Jung-Bok (Department of Internal Medicine, Ilsan Paik Hospital, Inje University College of Medicine)
Kim, Nam-Hoon (Department of Internal Medicine, Ilsan Paik Hospital, Inje University College of Medicine)
Kim, Kyung-Ah (Department of Internal Medicine, Ilsan Paik Hospital, Inje University College of Medicine)
Lee, June-Sung (Department of Internal Medicine, Ilsan Paik Hospital, Inje University College of Medicine)
Moon, Young-Soo (Department of Internal Medicine, Ilsan Paik Hospital, Inje University College of Medicine)
Publication Information
Clinical Endoscopy / v.40, no.6, 2010 , pp. 370-373 More about this Journal
Abstract
Bezoars are collections or concretions of indigestible foreign material in the gastrointestinal tract. In the past, the most common method for the treatment of bezoar was surgical management. The current treatment methods for bezoars include chemical dissolution and endoscopic lithotripsy using biopsy forceps and, snare, electrohydraulic lithotripsy and laser. Cases of endoscopic fragmentation of gastric bezoars using an argon plasma and dissolution of gastric bezoars with Cola have recently been described, but it took a long time in those cases to remove a bezoar by a single method. Moreover, fragmented, residual bezoar-related complications sometimes occurred. We report here on a case of a 35-year-old man with a $10{\times}8{\times}8$ cm sized huge gastric bezoar that was successfully removed by combination therapy using an argon plasma and Coca-Cola injection. Compared with the previous single method, combination therapy using an argon plasma and Coca-Cola injection shortened the procedure time and reduced the complications related to a fragmented, remaining bezoar.
Keywords
Gastric bezoar; Endoscopy; Argon plasma; Coca-Cola;
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Times Cited By KSCI : 3  (Citation Analysis)
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1 Kuo JY, Mo LR, Tsai CC, Yueh SK, Lin RC, Hwang MH. Endoscopic fragmentation of gastric phytobezoar by electrohydraulic lithotripsy. Gastrointest Endosc 1993;39:706-708.   DOI   ScienceOn
2 McCloy RF, Greenberg GR, Baron JH. Duodenal pH in health and duodenal ulcer disease: effect of a meal, Coca-Cola, smoking, and cimetidine. Gut 1984;25:386-392.   DOI   ScienceOn
3 Canard JM, Vedrenne B. Clinical application of argon plasma coagulation in gastrointestinal endoscopy: has the time come to replace the laser. Endoscopy 2001;33:353-357.   DOI   ScienceOn
4 Sechopoulos P, Robotis JF, Rokkas T. Gastric bezoar treated endoscopically with a carbonated beverage: case report. Gastrointest Endosc 2004;60:662-664.   DOI   ScienceOn
5 Chung YW, Han DS, Park YK, et al. Huge gastric diospyrobezoars successfully treated by oral intake and endoscopic injection of Coca-Cola. Dig Liver Dis 2006;38:515-517.   DOI   ScienceOn
6 Feldman M, Friedman LS, Sleisenger MH. Sleisenger & Fordtran's gastrointestinal and liver disease. 7th ed. Philadelphia: W.B. Saunders, 2002.
7 Ha BW, Kim JH, Seo YT, et al. A case of huge gastric phytobezoar removed by endoscope using argon plasma. Korean J Gastrointest Endosc 2007;34:88-93.
8 Ladas SD, Triantafyllou K, Tzathas C, Tassios P, Rokkas T, Raptis SA. Gastric phytobezoars may be treated by nasogastric Coca-Cola lavage. Eur J Gastroenterol Hepatol 2002;14:801-803.   DOI   ScienceOn
9 Kato H, Nakamura M, Orito E, Ueda R, Mizokami M. The first report of successful nasogastric Coca-Cola lavage treatment for bitter persimmon phytobezoars in Japan. Am J Gastroenterol 2003;98:1662-1663.   DOI   ScienceOn
10 Schwartz GF, Polsky HS. Ingested foreign bodies of the gastrointestinal tract. Am Surg 1976;42:236-238.
11 Lee SG, Lee HY, Park KJ, et al. The clinical analysis of 25 cases of bezoars. J Korean Surg Soc 2005;68:407-413.
12 Byrne WJ. Foreign bodies, bezoars, and caustic ingestion. Gastrointest Endosc Clin N Am 1994;4:99-119.
13 Lee J. Bezoars and foreign bodies of the stomach. Gastrointest Endosc Clin N Am 1996;6:605-619.
14 Kim DW, Yun SW, Kim JH, et al. A gastric bezoar treated with an endoscopic urokinase injection. Korean J Med 2009;76:65-69.
15 Delpre G, Kadish U, Glanz I. Metoclopramide in the treatment of gastric bezoars. Am J Gastroenterol 1984;79:739-740.
16 Lee BJ, Park JJ, Chun HJ, et al. How good is cola for dissolution of gastric phytobezoars? World J Gastroenterol 2009;15:2265-2269.   DOI   ScienceOn
17 Yoon JI, Ahn SJ, Han JY, Baeg NJ, Im KS. Endoscopic laser therapy for removal of gastric bezoars -a report of two cases-. Korean J Intern Med 1990;38:578-583.