Second Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Japan.
Department of Gastroenterology, Toyonaka Keijinkai Hospital, Japan.
Intern Med. 2022 Feb 1;61(3):335-338. doi: 10.2169/internalmedicine.8090-21. Epub 2021 Jul 30.
A 77-year-old man complained of postmeal vomiting and sustained general fatigue. An abdominal computed tomography scan showed massive gastric expansion and fluid storage. Gastroscopy revealed four gastric bezoars that were considered to have caused pyloric ring obstruction. The patient was asked to drink 500 mL per day of Coca-Cola for 4 days. On the fourth day, we performed endoscopic crushing and removal by injecting Coca-Cola, cutting the softened bezoar with endoscopic snares, and collecting the pieces with endoscopic nets. We herein report (with a video presentation) a rare case of tannin-phytobezoars endoscopically removed with the administration and injection of Coca-Cola.
一位 77 岁男性患者诉餐后呕吐和持续全身乏力。腹部 CT 扫描显示胃腔显著扩张和液体潴留。胃镜检查发现 4 个胃石，考虑为幽门环梗阻所致。我们嘱患者连续 4 天每天饮用 500 mL 可口可乐。第 4 天，我们通过注射可口可乐进行内镜下粉碎和取出，用内镜套扎器切割软化的胃石，并使用内镜网篮收集碎块。本文报告（并配有视频演示）了一例罕见的可口可乐给药和注射内镜下清除鞣酸植物性胃石的病例。
