ArticleMedicine2025
Clinical applications of carbonated beverages: A case report of large gastric phytobezoar complicated by acute pancreatitis.
Article in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
rationalePhytobezoars are foreign bodies that form in the gastrointestinal tract as a result of accumulated ingested substances. Phytobezoars and acute pancreatitis occur concomitantly are rare, presenting diagnostic and therapeutic challenges for clinicians. Endoscopic mechanical lithotripsy with a single-use snare was utilized in this case; the treatment effect was suboptimal, and oral sodium bicarbonate and carbonated beverages are simple and effective non-surgical treatments for phytobezoars. PATIENT CONCERNS: A 65-year-old woman was hospitalized at our facility after experiencing abdominal pain for half a day due to eating persimmons. The diagnosis of phytobezoar-induced pancreatitis and gastric ulcers was confirmed by clinical examination. Most clinical symptoms have improved with comprehensive therapeutic strategies. DIAGNOSES: The final diagnosis was gastric phytobezoar, acute pancreatitis, and gastric ulcers.
interventionsIncluding anti-infection measures, inhibiting gastric acid secretion, safeguarding the gastric mucosa, inhibiting pancreatic enzyme activity, minimally invasive endoscopic procedures, and drinking carbonated beverages (Coca-Cola). OUTCOMES: The majority of clinical symptoms improved with comprehensive therapeutic strategies, and a follow-up gastroscope after 4 days showed that the phytobezoar had disappeared. At the 14-day follow-up, the patient felt well and did not experience any symptoms. LESSONS: This case presents ideas and methods for treating phytobezoars in patients with multimorbidity and is intended to serve as a reference for the clinical diagnosis and treatment of similar situations.
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