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Has coca-cola treatment become the first-line therapy for gastric bezoars,both in general and specifically for western countries?

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World Journal of Gastrointestinal Endoscopy 2024年第5期16卷 237-243页

作者： Maria Delgado Galan Luis Ramon Rabago Department of Gastroenterology Hospital Severo OchoaLeganes 28914Spain Department of Gastroenterology Hospital San RafaelMadrid 28016Spain

Phytobezoars is a rare disease and less common in Western *** stomach is the primary site for these formations,and endoscopic treatment involving fragmentation and extraction has traditionally been the most effective ***,medical treatments using enzymatic and chemical agents,such as cellulase and coca-cola,aimed at dissolving the bezoars,have also been utilized,showing varying degrees of resolution ***,the oral dissolution treatment with coca-cola has emerged as a promising,simpler,and more costeffective *** study by Liu et al represents an important step in clinical research on this topic,despite some limitations that need addressing for a more comprehensive understanding of its *** considerations for future research include sample size calculation,endoscopic procedure details,outpatient *** treatment,and detailed cost *** study's exclusions,such as patients with upper gastric surgery,phytobezoars older than 14 d,and cases of gastroparesis,limit its applicability to broader populations,especially in Western *** the promising outcomes of the coca-cola treatment,it's advocated as a first-line therapy for ***,further research is essential to overcome these *** special situations such as perforation or small bowel obstruction will require surgical treatment.

关键词： Phytobezoars Endoscopic treatment oral dissolution treatment with coca-cola Randomized study Editorial

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