Treatment of a Large Gastric Phytobezoar With Coca-Cola, Cellulase, and Endoscopic Fragmentation in a Community Hospital
Bezoars are indigestible masses that can cause gastrointestinal complications such as obstructions and perforations. We report the case of a 60-year-old man with a history of type 2 diabetes mellitus and duodenal ulcer surgery. The patient developed a large gastric phytobezoar that caused persistent...
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Korean College of Helicobacter and Upper Gastrointestinal Research
2025-03-01
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| Series: | The Korean Journal of Helicobacter and Upper Gastrointestinal Research |
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| Online Access: | http://helicojournal.org/upload/pdf/kjhugr-2024-0066.pdf |
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| author | Jaewon Song Dong Yeol Shin |
| author_facet | Jaewon Song Dong Yeol Shin |
| author_sort | Jaewon Song |
| collection | DOAJ |
| description | Bezoars are indigestible masses that can cause gastrointestinal complications such as obstructions and perforations. We report the case of a 60-year-old man with a history of type 2 diabetes mellitus and duodenal ulcer surgery. The patient developed a large gastric phytobezoar that caused persistent dyspepsia and epigastric pain. Upper endoscopy confirmed a 10-cm phytobezoar and a 1.5-cm active ulcer at the gastric angle. To soften the bezoar, Coca-Cola and cellulase were administered to the patient. This treatment significantly reduced the bezoar’s hardness, permitting its successful endoscopic fragmentation using conventional devices. Over three endoscopic sessions, the bezoar was fragmented into pieces smaller than 1 cm and removed; thereafter, the gastric ulcer healed completely. This case illustrates the effectiveness of combining the actions of Coca-Cola and cellulase with endoscopic methods to treat large bezoars, providing an alternative to surgical approaches in community healthcare settings. |
| format | Article |
| id | doaj-art-3b446535fef0434fbb8e025d655cf3d3 |
| institution | DOAJ |
| issn | 1738-3331 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Korean College of Helicobacter and Upper Gastrointestinal Research |
| record_format | Article |
| series | The Korean Journal of Helicobacter and Upper Gastrointestinal Research |
| spelling | doaj-art-3b446535fef0434fbb8e025d655cf3d32025-08-20T03:14:39ZengKorean College of Helicobacter and Upper Gastrointestinal ResearchThe Korean Journal of Helicobacter and Upper Gastrointestinal Research1738-33312025-03-01251737710.7704/kjhugr.2024.0066895Treatment of a Large Gastric Phytobezoar With Coca-Cola, Cellulase, and Endoscopic Fragmentation in a Community HospitalJaewon Song0Dong Yeol Shin1 Department of Internal Medicine, Namyangju Yang Hospital, Namyangju, Korea Department of Internal Medicine, Namyangju Yang Hospital, Namyangju, KoreaBezoars are indigestible masses that can cause gastrointestinal complications such as obstructions and perforations. We report the case of a 60-year-old man with a history of type 2 diabetes mellitus and duodenal ulcer surgery. The patient developed a large gastric phytobezoar that caused persistent dyspepsia and epigastric pain. Upper endoscopy confirmed a 10-cm phytobezoar and a 1.5-cm active ulcer at the gastric angle. To soften the bezoar, Coca-Cola and cellulase were administered to the patient. This treatment significantly reduced the bezoar’s hardness, permitting its successful endoscopic fragmentation using conventional devices. Over three endoscopic sessions, the bezoar was fragmented into pieces smaller than 1 cm and removed; thereafter, the gastric ulcer healed completely. This case illustrates the effectiveness of combining the actions of Coca-Cola and cellulase with endoscopic methods to treat large bezoars, providing an alternative to surgical approaches in community healthcare settings.http://helicojournal.org/upload/pdf/kjhugr-2024-0066.pdfbezoarendoscopycellulase |
| spellingShingle | Jaewon Song Dong Yeol Shin Treatment of a Large Gastric Phytobezoar With Coca-Cola, Cellulase, and Endoscopic Fragmentation in a Community Hospital The Korean Journal of Helicobacter and Upper Gastrointestinal Research bezoar endoscopy cellulase |
| title | Treatment of a Large Gastric Phytobezoar With Coca-Cola, Cellulase, and Endoscopic Fragmentation in a Community Hospital |
| title_full | Treatment of a Large Gastric Phytobezoar With Coca-Cola, Cellulase, and Endoscopic Fragmentation in a Community Hospital |
| title_fullStr | Treatment of a Large Gastric Phytobezoar With Coca-Cola, Cellulase, and Endoscopic Fragmentation in a Community Hospital |
| title_full_unstemmed | Treatment of a Large Gastric Phytobezoar With Coca-Cola, Cellulase, and Endoscopic Fragmentation in a Community Hospital |
| title_short | Treatment of a Large Gastric Phytobezoar With Coca-Cola, Cellulase, and Endoscopic Fragmentation in a Community Hospital |
| title_sort | treatment of a large gastric phytobezoar with coca cola cellulase and endoscopic fragmentation in a community hospital |
| topic | bezoar endoscopy cellulase |
| url | http://helicojournal.org/upload/pdf/kjhugr-2024-0066.pdf |
| work_keys_str_mv | AT jaewonsong treatmentofalargegastricphytobezoarwithcocacolacellulaseandendoscopicfragmentationinacommunityhospital AT dongyeolshin treatmentofalargegastricphytobezoarwithcocacolacellulaseandendoscopicfragmentationinacommunityhospital |