How good is cola for dissolution of gastric phytobezoars?

Beom Jae Lee, Jong Jae Park, Hoon Jai Chun, Ji Hoon Kim, Jong Eun Yeon, Yoon Tae Jeen, Jae Seon Kim, Kwan Soo Byun, Sang Woo Lee, Jae Hyun Choi, Chang Duck Kim, Ho Sang Ryu, Young Tae Bak

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Abstract

Aim: To evaluate the efficacy of cola treatment for gastric phytobezoars, including diospyrobezoars. Methods: A total of 17 patients (range: 48 to 78 years) with symptomatic gastric phytobezoars treated with cola and adjuvant endoscopic therapy were reviewed. Three liters of cola lavage (10 cases) or drink (7 cases) were initially used, and then endoscopic fragmentation was done for the remnant bezoars by using a lithotripsy basket or a polypectomy snare. The overall success of dissolving a gastric phytobezoars with using three liters of cola and the clinical and endoscopic findings were compared retrospectively between four cases of complete dissolution by using only cola and 13 cases of partial dissolution with cola. Results: After 3 L of cola lavage or drinking, a complete dissolution of bezoars was achieved in four patients (23.5%), while 13 cases (76.5%) were only partially dissolved. Phytobezoars (4 of 6 cases) were observed more frequently than diospyrobezoars (0 of 11) in the group that underwent complete dissolution (P = 0.006). Gender, symptom duration, size of bezoar and method of cola administration were not significantly different between the two groups. Twelve of 13 patients with residual bezoars were completely treated with a combination of cola and endoscopic fragmentation. Conclusion: The rate of complete dissolution with three liters of cola was 23.5%, but no case of diospyrobezoar was completely dissolved using this method. However, pretreatment with cola may be helpful and facilitate endoscopic fragmentation of gastric phytobezoars.

Original languageEnglish
Pages (from-to)2265-2269
Number of pages5
JournalWorld journal of gastroenterology
Volume15
Issue number18
DOIs
Publication statusPublished - 2009 May 14

Keywords

  • Clinical efficacy
  • Cola
  • Diospyrobezoars
  • Dissolution
  • Gastric phytobezoars

ASJC Scopus subject areas

  • Gastroenterology

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  • Cite this

    Lee, B. J., Park, J. J., Chun, H. J., Kim, J. H., Yeon, J. E., Jeen, Y. T., Kim, J. S., Byun, K. S., Lee, S. W., Choi, J. H., Kim, C. D., Ryu, H. S., & Bak, Y. T. (2009). How good is cola for dissolution of gastric phytobezoars? World journal of gastroenterology, 15(18), 2265-2269. https://doi.org/10.3748/wjg.15.2265