Successful combination therapy of endoscopic injection and oral administration of cola for persimmon bezoars: a case report

Abstract

A 78-year-old man with a history of diabetes visited our hospital complaining of abdominal distension after eating a lot of persimmons in a month. Abdominal computed tomography revealed spherical, air-containing, and low-absorption masses in the stomach and transverse part of the duodenum. Esophagogastroduodenoscopy revealed persimmon bezoars at the same sites. For treatment, cola was locally injected into bezoars, which were crushed by snares and collected subsequently. Additional oral administration of cola for 4 days removed all small bezoars after endoscopic treatment. Finally, the patient recovered well without any complications.