A Case of Huge Gastric Bezoar Removed by Endoscopic Combination Therapy with Coca-Cola Injection

Jung, Min Suk; Lee, Jang Won; Lee, Seung Hyun; Kim, Dong Hyun; Byun, Sang Hwan; Kim, Yeong Muk

doi:10.12701/yujm.2013.30.1.62

Case Report


Yeungnam Univ J Med. 2013 Jun;30(1):62-65. Korean. Published online June 30, 2013. https://doi.org/10.12701/yujm.2013.30.1.62
Copyright © 2013 Yeungnam University College of Medicine


A Case of Huge Gastric Bezoar Removed by Endoscopic Combination Therapy with Coca-Cola Injection
Min Suk Jung, Jang Won Lee, Seung Hyun Lee, Dong Hyun Kim, Sang Hwan Byun and Yeong Muk Kim
Department of Internal Medicine, Wallace Memorial Baptist Hospital, Busan, Korea.
Corresponding Author: Yeong Muk Kim, Division of Gastrology, Department of Internal Medicine, Wallace Memorial Baptist Hospital, 200 Geumdan-ro, Geumjeong-gu, Busan 609-728, Korea. Tel: 82-51-580-2000, Fax: 82-51-583-7114, Email: lovetoje@hanmail.net

Received September 17, 2012; Revised April 30, 2013; Accepted April 29, 2013.
This article has been cited by 1 article in This article has been cited by 1 article in KoMCI. This article has been cited by Google Scholar.
Go to: 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 (4×2.5 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.


Keywords: Bezoar; Cola; Endoscopy

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Figures


	Fig. 1 (A) Abdomen computed tomography (CT) shows bezoar (arrow indicate gastric bezoar) with small bowel (distal ileum) obstruction due to fragmented bezoar. (B) 3 hrs later follow up CT shows improving process of small bowel obstruction with bezoar (arrow indicate gastric bezoar).
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	Fig. 2 Endoscopic findings. (A) It is seen 4×2.5 cm sized huge brown colored gastric bezoar. (B) Coca-Cola is injected to the bezoar using injector. (C) Gastric bezoar is broken using a snare. (D) The broken bezoar is removed using a net.
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	Fig. 3 Two days later follow up endoscopic findings. (A) It is not seen bezoar in the stomach. (B) Gastric ulcer is seen in the inferior angle.
	Click for larger image

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