Τίτλος:
Gastric phytobezoars may be treated by nasogastric Coca-Cola lavage
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Large gastric phytobezoars may occur in patients with gastric
dysmotility disorders. Treatment options include dissolution with
enzymes, endoscopic fragmentation with removal or aspiration, and
surgery. We report our experience with nasogastric cola lavage therapy.
Over an 8-year period, five consecutive patients were referred to our
unit for endoscopic treatment of large gastric phytobezoars. They
included one patient with lobectomy for lung cancer and four patients
with diabetic gastroparesis. An initial attempt of endoscopic
fragmentation and removal was unsuccessful. Patients were treated with 3
1 of Coca-Cola nasogastric lavage over 12 h. Nasogastric lavage was very
well tolerated by the patients. Complete phytobezoar dissolution was
achieved in one session in all cases. There were no procedure-related
complications. The dissolution of large gastric phytobezoars with cola
nasogastric lavage is a safe, rapid and effective method. Patients may
be treated in the medical ward, avoiding therapeutic endoscopy or
surgery.
Συγγραφείς:
Ladas, SD
Triantafyllou, K
Tzathas, C
Tassios, P
Rokkas,
T
Raptis, SA
Περιοδικό:
European Journal of Gastroenterology and Hepatology
Εκδότης:
Lippincott, Williams & Wilkins
Λέξεις-κλειδιά:
Coca-Cola; phytobezoars; gastric lavage; diabetic gastroparesis;
phytobezoar dissolution therapy
DOI:
10.1097/00042737-200207000-00017
