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KMID : 0359020110420040232
Korean Journal of Gastrointestinal Endoscopy
2011 Volume.42 No. 4 p.232 ~ p.235
A Case of Gastric Bezoar Treated with a Distal Attachment Device
Jang Kwang-Pyo

Lee Jun
Park Il-Goo
Byeon Yu-Mi
Park Chol-Jin
Kim Young-Dae
Park Chan-Kuk
Kim Man-Woo
Abstract
Bezoars are collection of indigestible materials in the gastrointestinal tract. Many endoscopic techniques for removal of bezoars have been reported recently, but these methods need much equipment. We treated a gastric bezoar with a distal attachment device easily available for an endoscope. A 74-year-old man with a history of diabetes mellitus was admitted to hospital with hematemesis. On the second endoscopic examination, a gastric bezoar (6¡¿4¡¿4 cm) was detected in the stomach. Then, using a distal attachment device, we injected Coca-Cola directly into the bezoar by an injector. With tension force, the bezoar was easily broken due to the impulse of the distal attachment device. The endoscopic technique used in our case can be easily performed and has fewer complications compared to those of other techniques. Therefore, we report here on this new treatment modality that uses a distal attachment device.
KEYWORD
Bezoar, Distal attachment, Coca-Cola
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