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Olga Wagner, Stefan Markoff, Vera Schmidt

    Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
    |December 6, 2019
    PubMed
    Summary

    Phytobezoars, or indigestible masses, can cause intestinal obstruction. Coca-Cola lysis, a less common treatment, was successfully used when surgery or endoscopy failed.

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    Area of Science:

    • Gastroenterology
    • Surgical Gastroenterology

    Background:

    • Phytobezoars are rare causes of intestinal obstruction.
    • Treatment options include surgery, enzyme therapy, endoscopic removal, and Coca-Cola lysis.
    • Literature on Coca-Cola lysis primarily focuses on gastric bezoars, with limited information on intestinal bezoars.

    Purpose of the Study:

    • To report a case of intestinal obstruction caused by a phytobezoar.
    • To evaluate the efficacy of Coca-Cola lysis for intestinal phytobezoars when conventional methods fail.

    Main Methods:

    • A case of intestinal obstruction due to a phytobezoar was managed.
    • Conventional surgical and endoscopic interventions were not feasible.
    • Coca-Cola lysis was employed as a therapeutic option.

    Main Results:

    • Coca-Cola lysis was successfully utilized to treat the intestinal obstruction.
    • This case expands the understanding of Coca-Cola lysis application for intestinal phytobezoars.

    Conclusions:

    • Coca-Cola lysis is a viable therapeutic option for intestinal phytobezoars, particularly when standard treatments are contraindicated or unsuccessful.
    • Further research is warranted to establish standardized protocols for Coca-Cola lysis in managing intestinal phytobezoars.

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