코카콜라 내시경적 주입법과 아르곤 플라스마 빔을 이용한 위석의 치료 = Gastroenterology A case of a huge gastric bezoar treated with an endoscopic Coca-cola injection and an Argon plasma beam

다국어 초록 (Multilingual Abstract)

Bezoars are persistent concretions of indigestible materials found in the stomach. They can cause mucosal ulceration or wall perforation, gastritis, gastric outlet obstruction, or gastrointestinal bleeding. With the significant development of endoscopic techniques, many authors have reported the removal of bezoars using methods such as endoscopic mechanical lithotomy and chemical dissolution however, the outcomes differ according to the treatment method. We report a case treated successfully with an endoscopic Coca-cola injection and an argon plasma beam for 90 minutes. A 61-year-old man was admitted with a 4-day history of upper abdominal pain. A bezoar was detected by upper gastrointestinal endoscopy. The bezoar (10×8×6 cm) was dark brown in color and extremely hard. Attemptat endoscopic removal using a polypectomy snare failed. We then injected Coca-cola directly into the bezoar mass and sprayed it with an Argon plasma beam. Ninety minutes later, the bezoar was broken into pieces and removed. The bezoar was absent at the follow up endoscopy 2 weeks later. (Korean J Med 79:48-52, 2010)

참고문헌 (Reference)

1 이현재, "콜라 경구 투여로 치료한 식물 위석 2예" 대한소화기학회 48 (48): 431-433, 2006

2 하병욱, "위내 거대 위석의 아르곤 플라즈마를 이용한 내시경 분쇄제거 치료 1예" 대한소화기내시경학회 34 (34): 88-93, 2007

3 김동우, "내시경적 Urokinase 주입으로 치료한 위석 1예" 대한내과학회 76 (76): 65-69, 2009

4 Walker-Renard P, "Update on the medicinal management of phytobezoars" 88 : 1663-1666, 1993

5 Seon KY, "Two cases of huge bezoar in geriatric patients that endoscopically removed through direct injection of Coca-Cola" 10 : 201-205, 2006

6 Lee IT, "Two cases of gastric bezoar removed by endoscopic polypectomy snare and lithotriptor" 18 : 373-379, 1998

7 Kato H, "The first report of successful nasogastric Coca-Cola lavage treatment for bitter persimmon phytobezoars in Japan" 98 : 1662-1663, 2003

8 Feldman M, "Sleisenger and Fordtran's gastrointestinal and liver disease. 8th ed" Saunders 509-511, 2006

9 Kou JY, "Nonoperative treatment of gastric bezoars using electrohydraulic lithotripsy" 31 : 386-388, 1999

10 Grund KE, "New hemostatic techniques: argon plasma coagulation" 13 : 67-84, 1999

11 Klamer TW, "Max MH. Recurrent gastric bezoars" 145 : 417-419, 1983

12 Schwarz GF, "Ingested foreign bodies of the gastrointestinal tract" 42 : 236-238, 1976

13 Chung YW, "Huge gastric diospyro-bezoars successfully treated by oral intake and endoscopic injection of Coca-Cola" 38 : 515-517, 2006

14 Ladas SD, "Gastric phytobezoars may be treated by nasogastric Coca-Cola lavage" 14 : 801-803, 2002

15 Moon HJ, "Gastric phytobezoar treated by oral intake and endoscopic injection of Coca-Cola" 23 : 247-251, 2006

16 Yoon JI, "Endoscopic laser therapy for removal of gastric bezoars" 38 : 578-584, 1990

17 McCloy RF, "Duodenal pH in health and duodenal ulcer disease: effect of a meal, Coca-Cola, smoking, and cimetidine" 25 : 386-392, 1984

18 Canard JM, "Clinical application of argon plasma coagulation in gastrointest endosc: has the time come to replace the laser?" 33 : 353-357, 2001

19 Wahab PJ, "Argon plasma coagulation in flexible gastrointest endoscopy: pilot experiences" 29 : 176-181, 1997