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J Yeungnam Med Sci > Volume 24(2 Suppl); 2007 > Article
Yeungnam University Journal of Medicine 2007;24(2 Suppl):S683-688.
DOI:    Published online December 31, 2007.
A Case of Gastric Bezoar Causing Ileal Obstruction During Treatment with Coca-Cola
Jun Young Lee, Sung Bum Kim, Sang Hoon Lee, Hee Jung Moon, Jong Ryul Eun, Tae Nyeun Kim, Byung Ik Jang
Department of Internal Medicine, College of Medicine, Yeungnam University, Daegu, Korea
코카콜라 주입치료 도중 회장폐쇄를 일으킨 위석 1 예
이준영, 김승범, 이상훈, 문희정, 은종렬, 김태년, 장병익
영남대학교 의과대학 내과학교실
Correspondence:  Byung Ik Jang, Tel: (053) 620-3831, Fax: (053) 654-8386, 
Gastric bezoars are usually occur in patients who have undergone gastric surgery and have delayed gastric emptying. Recently, the efficacy of nasogastric lavage or endoscopic injection therapy with Coca-Cola has been reported. But the complication like intestinal obstruction has poorly been reported. We report a case of gastric bezoar causing ileal obstruction during treatment with oral administration and endoscopic injection of Coca-Cola. A 53-year-old man was referred because of epigastric pain for a day. He had a history of subtotal gastrectomy with gastroduodenostomy since 8 years ago. On upper gastrointestinal endoscopy, about 6cm sized, dark-greenish hard bezoar was impacted at gastric antrum and about 3-5cm sized three bezoars were found at body. We injected Coca-Cola into the bezoar through the endoscopy and the patient was instructed to drink four liters of Coca-Cola per day. On the 12th day of admission, the patient complained severe abdominal pain. On plain abdominal X-ray and CT scan, small bowel obstruction at proximal ileum with bezoar was suspected and exploration was performed. About 4cm sized two bezoars were impacted at proximal ileum, and small bowel resection with primary closure after removal of bezoar was performed. The patient was discharged on the 10th postoperative day without any complication.
Key Words: Phytobezoars, Coca-Cola, Endoscopy, Obstruction


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