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Journal of the Korean Geriatrics Society 2006;10(3):201-205.
Published online September 30, 2006.
2 Cases of Huge Bezoar in Geriatric Patients that Endoscopically Removed Through Direct Injection of Coca-Cola
Kyoung Youn Seon, Sung Ho Lee, Jong Hyun Lee, Se Ho Choi, Seong Eun Lee
Department of Internal Medicine, National Medical Center, Seoul, Korea. gravistas@daum.net
In case of bezoar removal, pharmacotherapy has been performed within restrictive patients as well as therapeutic endoscopy has been restricted as to the size of bezoar and its hardness. In patients with huge and hard bezoars, that is unable to remove through endoscopy they need surgical removal. But in case of geriatric patient management, we can't overlook the complication of general anethesia and post operative wound infection. Thus we describe two case of geriatric patient that endoscopically removed bezoar through the medium of dissolved by Coca-Cola direct injection and lavage. We injected Coca-Cola directly to bezoar through the spray catheter and then Coca-Cola lavage daily two liters for three days. We could easily destroy dissolved huge bezoars by using of biopsy forcep and snare and than get rid of them endoscopically by use of basket. In case of geriatric patient management of huge gastric bezoar it is considered another choice for bezoar removal.
Key Words: Gastric bezoar, Endoscopy, Coca-cola
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