Korean Journal of Gastrointestinal Endoscopy 2010;40(6): 370-373.
아르곤 플라즈마와 코카콜라 주사를 병용하여 내시경으로 분쇄 제거한 거대 위석 1예
김정훈ㆍ배원기ㆍ이형돈ㆍ박정복ㆍ김남훈ㆍ김경아ㆍ이준성ㆍ문영수
인제대학교 의과대학 일산백병원 내과학교실
A Huge Gastric Bezoar That Was Removed by Endoscopic Combination Therapy with an Argon Plasma and Coca-Cola Injection
Jung Hoon Kim, M.D., Won Ki Bae, M.D., Hyoung Don Lee, M.D., Jung Bok Park, M.D., Nam-Hoon Kim, M.D., Kyung-Ah Kim, M.D., June Sung Lee, M.D. and Young Soo Moon, M.D.
Department of Internal Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea
Abstract
Bezoars are collections or concretions of indigestible foreign material in the gastrointestinal tract. In the past, the most common method for the treatment of bezoar was surgical management. The current treatment methods for bezoars include chemical dissolution and endoscopic lithotripsy using biopsy forceps and, snare, electrohydraulic lithotripsy and laser. Cases of endoscopic fragmentation of gastric bezoars using an argon plasma and dissolution of gastric bezoars with Cola have recently been described, but it took a long time in those cases to remove a bezoar by a single method. Moreover, fragmented, residual bezoar-related complications sometimes occurred. We report here on a case of a 35-year-old man with a 10×8×8 cm sized huge gastric bezoar that was successfully removed by combination therapy using an argon plasma and Coca-Cola injection. Compared with the previous single method, combination therapy using an argon plasma and Coca-Cola injection shortened the procedure time and reduced the complications related to a fragmented, remaining bezoar. (Korean J Gastrointest Endosc 2010; 40:370-373)
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