2008 Volume 50 Issue 12 Pages 3033-3039
We report a case of impacted diospyrobezoars in gastric antrum, which were treated successfully by dissolution therapy with Coca-Cola administration. An 87-year-old woman was admitted to our hospital because of abdominal pain and feeling of abdominal distension. Upper gastrointestinal endoscopy revealed two diospyrobezoars (each size was 7cm and 3cm in diameter) in the stomach, and one bezoar became impacted in gastric antrum at a later date. The endoscopic removal using forceps and polypectomy snare resulted in failure. Therefore., she received dissolution therapy with Coca-Cola. On the next day, the impacted bezoar was partially dissolved and turned to be softened, and that was safely-removed endoscopically. She took extra dose of Coca-Cola, and the next day, remaining bezoars were completely dissolved. The dissolution therapy with Coca-Cola may be useful in patients with diospyrobezoar resistant to endoscopic therapy.
