Register for an account

X

Enter your name and email address below.

Your email address is used to log in and will not be shared or sold. Read our privacy policy.

X

Website access code

Enter your access code into the form field below.

If you are a Zinio, Nook, Kindle, Apple, or Google Play subscriber, you can enter your website access code to gain subscriber access. Your website access code is located in the upper right corner of the Table of Contents page of your digital edition.

Health

Friday Flashback: How good is cola for dissolving bezoars?

Seriously, Science?By Seriously ScienceOctober 18, 2013 5:00 PM
455049321_1067a5d39a.jpg

Newsletter

Sign up for our email newsletter for the latest science news

Photo: flickr/VinnlDespite what Professor Snape would have you believe, bezoars--which are basically clumps of indigestible matter that are too large to pass out of the stomach-- are not restricted to goats. In fact, they are not uncommon in people, where they are most often composed of pumpkin seed hulls, persimmon skins, and chewing gum. This paper describes a rather common way to dissolve a phytobezoar (a bezoar made up of plant material, like pumpkin seed hulls): filling up the stomach with obscene amounts (3 liters!) of Coca-Cola. Apparently, this breaks up the solid clumps enough that they can pass out of the stomach. Beware, the images after the jump are a little intense!How good is cola for dissolution of gastric phytobezoars? "AIM: To evaluate the efficacy of cola treatment for gastric phytobezoars, including diospyrobezoars. METHODS: A total of 17 patients (range: 48 to 78 years) with symptomatic gastric phytobezoars treated with cola and adjuvant endoscopic therapy were reviewed. Three liters of cola lavage (10 cases) or drink (7 cases) were initially used, and then endoscopic fragmentation was done for the remnant bezoars by using a lithotripsy basket or a polypectomy snare. The overall success of dissolving a gastric phytobezoars with using three liters of cola and the clinical and endoscopic findings were compared retrospectively between four cases of complete dissolution by using only cola and 13 cases of partial dissolution with cola. RESULTS: After 3 L of cola lavage or drinking, a complete dissolution of bezoars was achieved in four patients (23.5%), while 13 cases (76.5%) were only partially dissolved. Phytobezoars (4 of 6 cases) were observed more frequently than diospyrobezoars (0 of 11) in the group that underwent complete dissolution (P = 0.006). Gender, symptom duration, size of bezoar and method of cola administration were not significantly different between the two groups. Twelve of 13 patients with residual bezoars were completely treated with a combination of cola and endoscopic fragmentation. CONCLUSION: The rate of complete dissolution with three liters of cola was 23.5%, but no case of diospyrobezoar was completely dissolved using this method. However, pretreatment with cola may be helpful and facilitate endoscopic fragmentation of gastric phytobezoars."

Bonus figure from full text:

WJG-15-2265-g002.jpg

"Figure 2: Endoscopic views of huge diospyrobezoar. A: Initial endoscopic view. Endoscopic view of huge dark brownish colored diospyrobezoar in the stomach (Case 17). B: Endoscopic view of one day after 3 L of cola lavage. The size was decreased and some fragmentation was observed. C: Endoscopic view of 4th day. The residual bezoar still remained with fragmentation (total amount of administrated cola was 9 L)."

bezoar.png

Related content: Discoblog: NCBI ROFL: Competitive speed eating: truth and consequences. Discoblog: NCBI ROFL: Sword swallowing and its side effects. Discoblog: NCBI ROFL: A moment on your lips, forever in your intestine.

    3 Free Articles Left

    Want it all? Get unlimited access when you subscribe.

    Subscribe

    Already a subscriber? Register or Log In

    Want unlimited access?

    Subscribe today and save 70%

    Subscribe

    Already a subscriber? Register or Log In