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经持续肠内输注可口可乐®治疗的胃木质粪石

Gastric Xylobezoar Treated with Continuous Enteral Coca-Cola® Infusion.

作者信息

Gangadharan Nambiar Gopinathan, Hanna Eyad, Shelton Julia, Lee Rose

机构信息

Pediatric Gastroenterology Hepatology Pancreatology, Nutrition University of Iowa Stead Family Children's Hospital, Iowa, USA.

Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology, Pancreatology, Nutrition University of Iowa Stead Family Children's Hospital, Iowa, USA.

出版信息

Case Rep Pediatr. 2022 Aug 28;2022:7187356. doi: 10.1155/2022/7187356. eCollection 2022.

DOI:10.1155/2022/7187356
PMID:36072305
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9441401/
Abstract

Xylobezoar is a rare clinical condition in which undigested paper becomes trapped in the gastrointestinal tract causing varying degrees of gastrointestinal obstruction. This condition can be suspected in children with a history of gastric surgeries, decreased gastrointestinal motility, or pica. Xylobezoar presents with symptoms ranging from chronic abdominal pain to gastrointestinal perforation. Surgical intervention is often required as endoscopic removal is challenging and not always successful. Chemical dissolution has been shown to be effective in treating certain bezoars. Here, we report a case of a pediatric patient with xylobezoar who was successfully treated with continuous enteral Coca-Cola® infusion.

摘要

木质胃石是一种罕见的临床病症,其中未消化的纸张被困在胃肠道中,导致不同程度的胃肠道梗阻。有胃手术史、胃肠动力下降或异食癖的儿童可能会怀疑患有这种病症。木质胃石的症状从慢性腹痛到胃肠道穿孔不等。由于内镜下取出具有挑战性且并非总是成功,通常需要进行手术干预。化学溶解已被证明对治疗某些胃石有效。在此,我们报告一例患有木质胃石的儿科患者,通过持续肠内输注可口可乐®成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9f1/9441401/1e34745ab548/CRIPE2022-7187356.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9f1/9441401/6f8ec6f92bda/CRIPE2022-7187356.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9f1/9441401/1e34745ab548/CRIPE2022-7187356.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9f1/9441401/6f8ec6f92bda/CRIPE2022-7187356.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9f1/9441401/1e34745ab548/CRIPE2022-7187356.002.jpg

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本文引用的文献

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Pica, Autism, and Other Disabilities.异食癖、自闭症及其他残疾。
Pediatrics. 2021 Feb;147(2). doi: 10.1542/peds.2020-0462. Epub 2021 Jan 6.
2
Pathophysiological and clinical aspects of the diagnosis and treatment of bezoars.胃石症诊断与治疗的病理生理及临床方面
Ann Gastroenterol. 2019 May-Jun;32(3):224-232. doi: 10.20524/aog.2019.0370. Epub 2019 Mar 15.
3
Review of the diagnosis and management of gastrointestinal bezoars.胃肠道粪石的诊断与管理综述
World J Gastrointest Endosc. 2015 Apr 16;7(4):336-45. doi: 10.4253/wjge.v7.i4.336.
4
Clinical outcomes associated with treatment modalities for gastrointestinal bezoars.与胃肠道粪石治疗方式相关的临床结果
Gut Liver. 2014 Jul;8(4):400-7. doi: 10.5009/gnl.2014.8.4.400. Epub 2014 Jan 14.
5
Systematic review: Coca-Cola can effectively dissolve gastric phytobezoars as a first-line treatment.系统评价:可口可乐可有效溶解胃植物性结石,作为一线治疗方法。
Aliment Pharmacol Ther. 2013 Jan;37(2):169-73. doi: 10.1111/apt.12141.
6
How good is cola for dissolution of gastric phytobezoars?可乐对胃植物性胃石溶解的效果如何?
World J Gastroenterol. 2009 May 14;15(18):2265-9. doi: 10.3748/wjg.15.2265.