Cola Dissolution Therapy Via Ileus Tube Was Effective for Ileus Secondary to Small Bowel Obstruction Induced by an Enterolith

Overview

Journal Intern Med

Specialty General Medicine

Date 2019 May 24

PMID 31118399

Citations 2

Authors

Yuga Komaki

Shuji Kanmura

Akihito Tanaka

Mari Nakashima

Fukiko Komaki

Hiromichi Iwaya

Shiho Arima

Fumisato Sasaki

Yuichiro Nasu

Shiroh Tanoue

Shinichi Hashimoto

Akio Ido

Affiliations

Soon will be listed here.

Abstract

An 87-year-old bedridden woman developed intestinal obstruction caused by an enterolith or bezoar. Since the patient refused surgery, we administered 1,000 mL/day of cola via an ileus tube to dissolve the stone. Occlusion of the small intestine disappeared on day 6. The excreted stones contained calcium phosphate, which is typical of enteroliths. We later confirmed that the retrieved stones could be dissolved in cola (Coca-Cola, pH 1.9) as well as 0.10 and 0.010 mol/L hydrochloric acid (pH 1.0 and 2.0, respectively) and food-grade vinegar (pH 2.6). These findings suggest that the enteroliths were dissolved by an acid-base reaction.

Citing Articles

Coca-Cola consumption fragmentation in the management of patients with phytobezoars: A prospective randomized controlled trial.

Liu F, Meng D, Shen X, Meng D, Liu Y, Zhang L World J Gastrointest Endosc. 2024; 16(2):83-90.

PMID: 38464817 PMC: 10921151. DOI: 10.4253/wjge.v16.i2.83.

Enterolith Treated with a Combination of Double-Balloon Endoscopy and Cola Dissolution Therapy.

Nomura K, Shibuya T, Omori M, Odakura R, Ito K, Maruyama T Medicina (Kaunas). 2023; 59(3).

PMID: 36984574 PMC: 10051240. DOI: 10.3390/medicina59030573.

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