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Treatment of gastric phytobezoars with Coca-Cola® given via oral route: a case report

Authors Ertu─črul G, Co┼čkun, Sevin├ž, Ertu─črul, Toydemir T

Received 24 December 2011

Accepted for publication 10 January 2012

Published 23 February 2012 Volume 2012:5 Pages 157—161


Review by Single-blind

Peer reviewer comments 4

Gökhan Ertu─črul1, Murat Co┼čkun1, Mahsuni Sevinç1, Fisun Ertu─črul2, Toygar Toydemir3
1Department of General Surgery, Düzce Atatürk State Hospital, Muncurlu, Düzce, Turkey; 2Department of Anaesthesiology and Reanimation, Düzce Atatürk State Hospital, Muncurlu, Düzce, Turkey; 3Department of General Surgery, ─░stanbul Surgery Hospital, Nisantasi, ─░stanbul, Turkey

Background: A 43-year-old female patient presented with a chief complaint of upper abdominal pain. As her complaints had lasted for 1 month, an upper gastrointestinal system endoscopy was performed and discovered a bezoar in the stomach.
Case presentation: The bezoar was quite hard and light green-yellow in color. Pathological examination revealed phytobezoar. The patient was hospitalized and given oral Coca-Cola® Zero for seven days at a dose of 500 mL three times daily.
Conclusion: The upper gastrointestinal system endoscopy performed at the end of 7 days showed that the phytobezoar had softened and become smaller. The phytobezoar was broken into pieces with biopsy forceps and washing was applied, so the phytobezoar pieces could pass through the pylorus. The patient was discharged after the procedure without problem.

Keywords: gastric phytobezoar, Coca-Cola, upper gastrointestinal system endoscopy

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