内镜下碎解联合应用百事可乐治疗胃石症
Gastric Bezoar Treatment by Endoscopic Fragmentation in Combination with Pepsi-Cola® Administration.
作者信息
Iwamuro Masaya, Yunoki Naoko, Tomoda Jun, Nakamura Kazuhiro, Okada Hiroyuki, Yamamoto Kazuhide
机构信息
Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan.
Department of Internal Medicine, Akaiwa Medical Association Hospital, Akaiwa, Japan.
出版信息
Am J Case Rep. 2015 Jul 10;16:445-8. doi: 10.12659/AJCR.893786.
BACKGROUND
Although bezoar dissolution by Coca-Cola® has been described in case reports and case series, to the best of our knowledge, the usefulness of other cola products such as Pepsi-Cola® has never been reported in the English literature.
CASE REPORT
An 86-year-old Taiwanese man was diagnosed with a gastric bezoar. Endoscopic fragmentation with a polypectomy snare was attempted twice but failed to remove the bezoar. Subsequently, 500 mL of Pepsi NEX Zero® was administered daily for 4 days via nasogastric tube. The bezoar was softened and successfully fragmented by the polypectomy snare and needle-knife devices on the third attempt.
CONCLUSIONS
This report presents the first case of a gastric bezoar successfully treated by endoscopic fragmentation in combination with Pepsi-Cola® administration, suggesting the possible utility of cola beverages in bezoar treatment, regardless of product brands.
背景
尽管已有病例报告和病例系列描述了可口可乐®溶解胃石的情况，但据我们所知，英文文献中从未报道过其他可乐产品（如百事可乐®）的效用。
病例报告
一名86岁的台湾男性被诊断为胃石症。尝试使用息肉切除圈套器进行内镜下破碎两次，但未能取出胃石。随后，通过鼻胃管每天给予500毫升百事轻怡可乐®，持续4天。在第三次尝试时，胃石变软，使用息肉切除圈套器和针刀设备成功将其破碎。
结论
本报告介绍了首例通过内镜下破碎联合百事可乐®给药成功治疗胃石症的病例，表明可乐饮料在胃石治疗中可能具有效用，无论产品品牌如何。
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