아르곤 플라즈마와 코카콜라 주사를 병용하여 내시경으로 분쇄 제거한 거대 위석

• Published in: Taehan Sohwagi Naesigyŏng Hakhoe chi Vol. 40; no. 6; pp. 370 - 373
• Main Authors: 김정훈, Jung Hoon Kim, 배원기, Won Ki Bae, 이형돈, Hyoung Don Lee, 박정복, Jung Bok Park, 김남훈, Nam-Hoon Kim, 김경아, Kyung-Ah Kim, 이준성, June Sung Lee, 문영수, Young Soo Moon
• Format: Journal Article
• Language: Korean
• Published: 대한소화기내시경학회 30.06.2010
• Subjects: Argon plasma; Coca-Cola; Endoscopy; Gastric bezoar
• ISSN: 1225-7001

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.