Korean J Gastrointest Endosc.  2011 Apr;42(4):232-235.

A Case of Gastric Bezoar Treated with a Distal Attachment Device

Affiliations
  • 1Department of Internal Medicine, Chosun University Hospital, Chosun University College of Medicine, Gwangju, Korea. leejun@chosun.ac.kr

Abstract

Bezoars are collection of indigestible materials in the gastrointestinal tract. Many endoscopic techniques for removal of bezoars have been reported recently, but these methods need much equipment. We treated a gastric bezoar with a distal attachment device easily available for an endoscope. A 74-year-old man with a history of diabetes mellitus was admitted to hospital with hematemesis. On the second endoscopic examination, a gastric bezoar (6x4x4 cm) was detected in the stomach. Then, using a distal attachment device, we injected Coca-Cola directly into the bezoar by an injector. With tension force, the bezoar was easily broken due to the impulse of the distal attachment device. The endoscopic technique used in our case can be easily performed and has fewer complications compared to those of other techniques. Therefore, we report here on this new treatment modality that uses a distal attachment device.

Keyword

Bezoar; Distal attachment; Coca-Cola

MeSH Terms

Aged
Bezoars
Diabetes Mellitus
Endoscopes
Gastrointestinal Tract
Hematemesis
Humans
Stomach
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