Gastric Xylobezoar Treated with Continuous Enteral Coca-Cola® Infusion

Gopinathan Gangadharan Nambiar1, Eyad Hanna2, Julia Shelton3

  • 1Pediatric Gastroenterology Hepatology Pancreatology, Nutrition University of Iowa Stead Family Children's Hospital, Iowa, USA.

Case Reports in Pediatrics
|September 8, 2022
PubMed

Insights

A rare xylobezoar, or paper bezoar, can cause gastrointestinal obstruction in children. Continuous enteral Coca-Cola infusion successfully dissolved a pediatric xylobezoar, offering a novel treatment option.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery

Background:

  • Xylobezoar is a rare gastrointestinal condition involving undigested paper accumulation.
  • It can lead to obstruction, particularly in children with prior gastric surgery, motility issues, or pica.

Observation:

  • A pediatric patient presented with symptoms suggestive of xylobezoar.
  • Standard treatments like endoscopic removal were considered challenging.

Findings:

  • The case involved a pediatric patient diagnosed with xylobezoar.
  • Successful treatment was achieved through continuous enteral Coca-Cola infusion, leading to chemical dissolution of the bezoar.

Implications:

  • This case highlights Coca-Cola infusion as a potential non-surgical treatment for xylobezoars.
  • It suggests a novel therapeutic approach for managing bezoars in pediatric patients.

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