Systematic review: Coca‐Cola can effectively dissolve gastric phytobezoars as a first‐line treatment

Abstract

SUMMARY BackgroundGastric phytobezoars represent the most common bezoars in patients with poor gastric motility. A variety of dissolution therapies and endoscopic fragmentation techniques have been evaluated as conservative treatment so as to avoid surgery.

Small Bowel Obstruction Caused by Aloe vera Bezoars: A Case Report

“…This complex forms a concrete-like viscous mass, incarcerating the insides of the gastrointestinal lumen and ultimately causing obstruction. 3,8,9 Previously, and to the best of our knowledge, only one case of gastric bezoar by Aloe vera has been reported in the literature. 10 However, no case of small bowel obstruction by Aloe vera bezoars has been reported to date.…”

Evaluation of acute intestinal obstruction cases due to gastrointestinal bezoars: 5-year-experience

“…Ladas ve ark. 31 asitli içecek ve endoskopik fragmantasyon kombinasyonu ile mide yerleşimli fitobezoarların konservatif tedavisinde %90'lara varan başarı sağla-dıklarını belirtmişlerdir. Ancak tıpkı enzimatik tedavi gibi, trikobezoarlar, endoskopik tedaviden fitobezoarlar kadar fayda görmemektedir.…”

An Energy Dispersive X-ray Spectroscopy Analysis of Elemental Changes of a Persimmon Phytobezoar Dissolved in Coca-Cola

“…Since the first report in 2002 by Ladas et al (1), there have been many case reports and series describing the successful clinical outcome of bezoars treated with Coca-Cola or other carbonated drinks (2)(3)(4)(5)(6)(7)(8)(9)(10). In a report by Ladas et al, 24 articles including 46 patients were reviewed and the authors stated that treatment with CocaCola led to phytobezoar resolution in 91.3% of the cases, either as a sole treatment or in combination with an endoscopic procedure (11). We recently investigated the efficiency of in vitro dissolution of phytobezoars by cola beverages.…”