Gastric Xylobezoar Treated with Continuous Enteral Coca-Cola® Infusion

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

doi:10.1155/2022/7187356

Cited by 3 publications

(7 citation statements)

References 6 publications

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“…One study has reported successful treatment of xylobezoar with nasogastric infusion of Coca-Cola. 10 In conclusion, our case report highlights the challenges and complexities involved in managing a rare case of xylobezoarinduced pancolonic obstruction in a patient with pica secondary to severe iron deficiency anemia, ultimately resulting in a fatal outcome. It underscores the importance of increased awareness, early intervention, and interdisciplinary management in such cases.…”

Section: Discussionmentioning

confidence: 81%

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Beyond the Usual Diet: A Challenging Case of Xylophagia Resulting in Intestinal Obstruction From Xylobezoar

Shah,

Narsapuram,

Krishnamoorthy

et al. 2023

ACG Case Rep J

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Xylobezoar is indeed a rare condition associated with xylophagia, characterized by varying degrees of intestinal obstruction due to the entrapment of undigested paper in the gastrointestinal tract. Xylophagia is a form of pica that primarily affects children from low socioeconomic backgrounds with mental conditions and nutritional deficiencies. It is rarely seen in adults. Medical and endoscopic interventions are often challenging in these patients, and surgical intervention is often required. We present an endoscopically challenging case of pancolonic obstruction due to toilet paper accumulation in a patient with pica secondary to iron deficiency anemia.

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Section: Discussionmentioning

confidence: 81%

“…One study has reported successful treatment of xylobezoar with nasogastric infusion of Coca-Cola. 10 …”

Section: Discussionmentioning

confidence: 99%

Beyond the Usual Diet: A Challenging Case of Xylophagia Resulting in Intestinal Obstruction From Xylobezoar

Shah,

Narsapuram,

Krishnamoorthy

et al. 2023

ACG Case Rep J

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“…This is particularly relevant in specialized healthcare facilities with prompt access to gastroenterology and surgical support. Physicians should be cautious of the potential risk of partially dissolved bezoars causing small intestinal obstructions during the treatment process [ 4 ]. Efficacy was noted in 54.8% (n = 17) of our study cases.…”

Section: Discussionmentioning

confidence: 99%

“…Managing phytobezoars typically involves conservative approaches such as administering proteolytic enzymes, cellulase, and carbonated beverages orally or through gastric lavage, sodium bicarbonate (NaHCO 3 ) powder, aspiration, endoscopic fragmentation, and, in refractory cases, surgery [ 4 , 5 ]. The efficacy of these treatments varies significantly, especially in diospyrobezoars, which are implicated in some countries as a major etiological agent for phytobezoar development.…”

Section: Introductionmentioning

confidence: 99%

Effect of Coca-Cola on the Dissolution of Persimmon-Related Phytobezoar in a Tertiary Care Hospital

Riaz,

Akbar,

Hassan

et al. 2024

Cureus

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Introduction Bezoars, masses of indigestible foreign bodies formed in the gastrointestinal tract, pose challenges in their management. Phytobezoars are particularly problematic due to their difficult diagnosis and resilience towards treatment. Recently, Coca-Cola has emerged as a potential solution due to its acidic composition and mucolytic properties. However, existing evidence is limited, highlighting the need for comprehensive studies. This research explores the efficacy of Coca-Cola in dissolving persimmon-related phytobezoars, aiming to contribute valuable insights to non-invasive treatment options. Material and methods Conducted as a descriptive case series, this study employed gastric cola lavage using non-probability purposive sampling. Patients aged 18-70 with persimmon-related phytobezoars were included. Two nasogastric tubes were inserted for cola lavage over 12 hours, utilizing three liters of cola until the disappearance of symptoms. When the bezoar disappeared, it was considered as complete success to the treatment. Results Out of 31 patients, 45.2% were male and 54.8% were female, with a mean age of 56.77 ± 9.01 years. Efficacy was noted in 54.8% of cases. Age less than 50 and no history of diabetes mellitus were associated with higher chances of treatment success (p-value ≤0.05). Conclusion Ingestion of Coca-Cola was highly effective, safe, and reliable for the dissolution of persimmon-related phytobezoars, as the frequency of efficacy was high in our study. Coca-Cola ingestion is a non-invasive and cost-effective mode of phytobezoar dissolution that should be taken as a first-line initial treatment option to attain desired outcomes.

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“…1,2,8,9 Trichobezoar is rare condition seen almost exclusively in young women with certain psychiatric disorders. 4,5 This type of bezoar is resistant to enzymatic degradation and endoscopic fragmentation, so surgery is treatment of choice. Psychiatric treatment is also necessary to prevent recurrences.…”

mentioning

confidence: 99%

Bezoars: diagnosis, management, and potential complications in patients with psychiatric disorders

Arias¹,

Campa²,

Campa³

et al. 2023

Int J Res Med Sci

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Word "bezoar" comes from Persian "pâdzahr," which means "antidote," since, in ancient times, it was believed that bezoar could cure and nullify effects of all poisons. In medical context, bezoar is the term used for conglomerates of undigested material that accumulate in de gastrointestinal tract. Case of 60-year-old female patient with repeated episodes of intestinal obstruction associated with digestive tract bleeding. She presented to emergency department with severe abdominal pain and intolerance to oral route. Computed tomography identified hypodense image suggestive of a oreign body in the small bowel lumen. During laparotomy, stone-like mass of approximately 3×5 cm was found at level of jejuno-ileal junction, 80 cm from Treitz ligament, with presence of an intestinal flange that conditions rotation of the intestinal loop on its axis. Intestinal obstruction due to bezoar is uncommon in adult patients, and symptoms are usually non-specific. It requires a high index of suspicion and effective screening for trichotillomania. In such cases, imaging studies such as tomography help to establish the diagnosis.

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Gastric Xylobezoar Treated with Continuous Enteral Coca-Cola® Infusion

Cited by 3 publications

References 6 publications

Beyond the Usual Diet: A Challenging Case of Xylophagia Resulting in Intestinal Obstruction From Xylobezoar

Beyond the Usual Diet: A Challenging Case of Xylophagia Resulting in Intestinal Obstruction From Xylobezoar

Effect of Coca-Cola on the Dissolution of Persimmon-Related Phytobezoar in a Tertiary Care Hospital

Bezoars: diagnosis, management, and potential complications in patients with psychiatric disorders

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