title: A case of small intestinal ileus caused by migration of gastric bezoars, which was successfully treated by dissolution therapy with cola through an ileus tube.
abstract: A 60-year-old woman with a history of distal gastrectomy for gastric cancer presented with a chief complaint of epigastric pain. Duodenal ileus due to the migration of a gastric bezoar was diagnosed, and she was hospitalized. We performed endoscopic lithotripsy and injection of cola, but the bezoar migrated toward the anus. Her abdominal pain worsened the following day, and she was diagnosed with ileus induced by the gastric bezoar. After decompression with an ileus tube, 1000ml/day of cola was injected via the ileus tube, and the ileus resolved on the 5th day of therapy. Based on this experience, we believe that dissolution therapy with cola via an ileus tube is effective in the treatment of bezoar-induced small bowel ileus.
authors.affiliation: Department of Gastroenterology, Okayama Red Cross Hospital.
authors.forename: Kenji
authors.initials: K
authors.lastname: Hashimoto
authors.forename: Masayasu
authors.initials: M
authors.lastname: Omori
authors.forename: Emiko
authors.initials: E
authors.lastname: Yoshimura
authors.forename: Motoi
authors.initials: M
authors.lastname: Asano
authors.forename: Ryo
authors.initials: R
authors.lastname: Harada
authors.forename: Junichi
authors.initials: J
authors.lastname: Toshimori
authors.forename: Masafumi
authors.initials: M
authors.lastname: Inoue
authors.forename: Motohiro
authors.initials: M
authors.lastname: Yokoyama
authors.forename: Haruhiko
authors.initials: H
authors.lastname: Kobashi
mesh_terms: D001630:Bezoars / Q000150:complications*; D002253:Carbonated Beverages; D004378:Duodenal Diseases / Q000209:etiology* / Q000628:therapy*; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications; D006801:Humans; D045823:Ileus / Q000209:etiology* / Q000628:therapy*; D007441:Intubation, Gastrointestinal; D008875:Middle Aged; D013272:Stomach Diseases / Q000150:complications*