Gastroenterology Research and Practice

Research Article

The Combination Therapy of Dissolution Using Carbonated Liquid and Endoscopic Procedure for Bezoars: Pragmatical and Clinical Review

Table 4

Summary of 55 patients treated by the dissolution therapy in combination with or without endoscopic fragmentation.
NumberAgeSexPast historyCombination with endoscopic removalAdministered carbonated drinksAdministration methodEtiology (type of bezoar)Size (cm or % of lumen)Total amount (mL)Single dose (mL)The number of administration treatment (times)Endoscopic procedure time (min)The length of hospital stay (day)ComplicationOutcomeReference
157MNone−Coca-Cola®Nasogastric tubeN/A (phytobezoar)N/A3,0003,0001N/A1NoneSuccess[7]
2N/AMDiabetes mellitus−Coca-Cola Light®Nasogastric tubeN/A (phytobezoar)N/A3,0003,0001N/A1NoneSuccess[7]
3N/AMDiabetes mellitus−Coca-Cola LightNasogastric tubeN/A (phytobezoar)N/A3,0003,0001N/A1NoneSuccess[7]
4N/AMDiabetes mellitus−Coca-Cola LightNasogastric tubeN/A (phytobezoar)N/A3,0003,0001N/A1NoneSuccess[7]
5N/AFDiabetes mellitus−Coca-Cola LightNasogastric tubeN/A (phytobezoar)N/A3,0003,0001N/A1NoneSuccess[7]
652FNone−Coca-ColaNasogastric tubePersimmon4 cm3,0003,0001N/A1IleusSuccess[8]
742MNone−Coca-ColaEndoscopyN/A (phytobezoar)N/A1201201N/A1NoneSuccess[9]
841MDiabetes mellitus−Coca-Cola LightPeroral and endoscopyN/A (phytobezoar)N/A10,1205007N/A3NoneSuccess[10]
955MNone−Coca-ColaPeroralN/A (phytobezoar)N/AN/A800N/AN/A60Gastric ulcerSuccess[11]
1073MNone−Coca-ColaPeroralN/A (phytobezoar)N/AN/A800N/AN/A60NoneSuccess[11]
1183MNone−Coca-ColaPeroralPersimmon4 cm3,5005007N/A7Gastric ulcerSuccess[12]
1273MHypereosinophilic syndrome−Coca-ColaPeroral and endoscopyPersimmonN/A6,00050014N/A8IleusSuccess[13]
1363MDuodenal ulcer−Coca-ColaPeroral, ERCP cannula, nasogastric tubePersimmon5 cmN/A1,00039N/A22Gastric ulcerSuccess[14]
1469FNone−Coca-ColaPeroralN/A (phytobezoar)Above 50%3,0003,0001N/A2Gastric ulcerSuccess[15]
1562FDiabetes mellitus−Coca-ColaNasogastric tubeN/A (phytobezoar)Above 50%3,0003,0001N/A2Gastric ulcerSuccess[15]
1649FDiabetes mellitus and gastric ulcer−Coca-ColaNasogastric tubeN/A (phytobezoar)Below 50%3,0003,0001N/A3NoneSuccess[15]
1751FDiabetes mellitus−Coca-ColaNasogastric tubeN/A (phytobezoar)Below 50%3,0003,0001N/A2Gastric ulcerSuccess[15]
1875MNone−Coca-ColaPeroralPersimmonN/A1,8003605N/A6IleusSurgically removed[14]
1983FDiabetes mellitus−Coca-Cola, Coca-Cola ZERO®PeroralPersimmon5 cmN/A1,500N/AN/A8Gastric ulcer and Mallory-Weiss syndromeSuccess[16]
2091FBrain tumor−Carbonated waterNasogastric tubePersimmon5 cm6,0005003N/A3Gastric ulcerSuccess[4]
2179FRectal cancer, pancreatic cancer, duodenal cancer−Carbonated waterNasogastric tubePersimmon4 cm6,0005003N/A3Gastric ulcerSuccess[4]
2282MDiabetes mellitus, hypertension, pulmonary fibrosis+Diet Pepsi-Cola®PeroralPersimmonN/A4,0001,0004N/A5Gastric ulcerSuccess[17]
2350MGastric ulcer+Diet Pepsi-ColaPeroralPersimmon7 cm1,0503503N/A1Gastric ulcerSuccess[18]
2467MGastric cancer, diabetes mellitus, hypertension, COPD+Coca-ColaNasogastric tubeMedicationsN/AN/A200N/AN/A3NoneSuccess[19]
2587FAngina+Coca-ColaNasogastric tubePersimmon7 cm1,9506503N/A3Gastric ulcer and incarceration of stomach vestibular partSuccess[20]
2648MDuodenal ulcer+Coca-ColaPeroralN/A (phytobezoar)Below 50%6,0003,000N/A83NoneSuccess[15]
2757FGastric ulcer+Coca-ColaNasogastric tubePersimmonAbove 50%6,0003,000N/A453NoneSuccess[15]
2871MGastric ulcer+Coca-ColaPeroralPersimmonBelow 50%6,0003,000N/A142NoneSuccess[15]
2965FGastric ulcer and hypertension+Coca-ColaNasogastric tubePersimmonAbove 50%6,0003,000N/A443NoneSuccess[15]
3061FDiabetes mellitus and gastric ulcer+Coca-ColaPeroralPersimmonBelow 50%6,0003,000N/A624NoneSuccess[15]
3157FGastric ulcer+Coca-ColaNasogastric tubePersimmonBelow 50%6,0003,000N/A423NoneSuccess[15]
3267FDiabetes mellitus+Coca-ColaNasogastric tubePersimmonBelow 50%6,0003,000N/A507Gastric ulcerSuccess[15]
3363MGastric ulcer and hypertension+Coca-ColaNasogastric tubeN/A (phytobezoar)Above 50%6,0003,000N/A303NoneSuccess[15]
3478MDiabetes mellitus+Coca-ColaNasogastric tubePersimmonAbove 50%9,0003,000N/A523Gastric ulcerSuccess[15]
3575FDiabetes mellitus+Coca-ColaPeroralPersimmonBelow 50%6,0003,000N/A405NoneSuccess[15]
3654FHypertension+Coca-ColaPeroralPersimmonBelow 50%9,0003,000N/A585Gastric ulcerSuccess[15]
3761FNone+Coca-ColaPeroralPersimmonBelow 50%6,0003,000N/A625Gastric ulcerSuccess[15]
3863MGastric ulcer+Coca-ColaPeroralPersimmonAbove 50%6,0003,000N/A723NoneSurgically removed[15]
3978MDiabetes mellitus, gastric ulcer, hypertension+Diet Coca-Cola®PeroralN/A5 cm4,0001,0004N/A3Gastric ulcerSuccess[21]
4076FGastric cancer+Coca-ColaPeroral and ERCP cannulaN/A (phytobezoar)N/AN/AN/A1N/A1Gastric erosionSuccess[22]
4174MGastric cancer+Coca-ColaPeroralN/A (phytobezoar)7 cm1,4007002N/A2Anastomotic ulcerSuccess[23]
4266FNone+Coca-ColaPeroralPersimmon7.8 cm21,0001,50014N/A16Gastric ulcerSuccess[16]
4369MNone+Coca-ColaPeroralPersimmonN/A3,0001,00031803Gastric ulcerSuccess[24]
4470MDiabetes mellitus+Coca-ColaPeroralN/AN/A5,5501,8503603Gastric ulcerSuccess[24]
4552MDuodenal ulcer+Coca-ColaPeroralN/AN/A4,5004,5002602Gastric ulcerSuccess[24]
4678MDiabetes mellitus and gastric ulcer+Coca-ColaPeroralPersimmonN/A4,0001,0004N/A2Gastric ulcerSuccess[25]
4757FGastric ulcer+Coca-ColaEndoscopyPersimmon7 cm5005002N/A6NoneSuccess[26]
4877MGastric ulcer+Coca-ColaPeroral and endoscopyGreen tea9 cmN/A1,5003N/A6NoneSuccess[27]
4968MRectal perforation, gastric cancer, acute pancreatitis, acute cholecystitis+Coca-ColaNasogastric tubeN/A (phytobezoar)5 cm3,0003,0002603NoneSuccess[28]
5057FGastric ulcer+Coca-ColaEndoscopyN/AN/A5005001N/A4NoneSuccess[29]
5174MDiabetes mellitus, Cerebral infarct+Coca-ColaIleus tube and endoscopyN/A7 cmN/A1008N/A29Ileus and gastric ulcerSuccess[30]
5259MEpilepsy, duodenal perforation+Coca-ColaPeroralPersimmon6.5 cmN/A1,0005N/A5Gastric ulcerSuccess[31]
5363FAppendectomy+Ginger AlePeroralGreen tea5 cm1,0005001555NoneSuccessOur case
5470MTotal gastrectomy+Ginger AlePeroralPersimmon5 cm1,0005001284NoneSuccessOur case
5580MNone+Ginger AlePeroralPersimmon4 cm1,0005001193Gastric ulcerSuccessOur case