Huge gastric diospyrobezoars successfully treated by oral intake and endoscopic injection of Coca-Cola

Dig Liver Dis. 2006 Jul;38(7):515-7. doi: 10.1016/j.dld.2005.10.024. Epub 2005 Dec 5.

Abstract

A diospyrobezoar is a type of phytobezoar that is considered to be harder than any other types of phytobezoars. Here, we describe a new treatment modality, which effectively and easily disrupted huge gastric diospyrobezoars. A 41-year-old man with a history of diabetes mellitus was admitted with lower abdominal pain and vomiting. Upper gastrointestinal endoscopy revealed three huge, round diospyrobezoars in the stomach. He was made to drink two cans of Coca-Cola every 6 h. At endoscopy the next day, the bezoars were partially dissolved and turned to be softened. We performed direct endoscopic injection of Coca-Cola into each bezoar. At repeated endoscopy the next day, the bezoars were completely dissolved.

Publication types

  • Case Reports

MeSH terms

  • Administration, Oral
  • Adult
  • Bezoars / diet therapy
  • Bezoars / etiology
  • Bezoars / pathology*
  • Bezoars / therapy*
  • Carbonated Beverages*
  • Diospyros / adverse effects*
  • Endoscopy
  • Humans
  • Male
  • Stomach Diseases / diet therapy
  • Stomach Diseases / pathology*
  • Stomach Diseases / therapy*