sodium-bicarbonate and Bezoars

Sixty-three patients with gastric phytobezoars were reviewed.. forty-eight (76.2%) patients received endoscopic combined with chemical therapies and 15 (23.8%) received only chemical therapy initially. Fifty-one (81.0%) patients achieved complete removal (only chemical therapy 14/15), while 12 (19.0%) received further endoscopic therapies.. finally, 62 (98.4%) patients achieved a complete removal. Considering only patients with combined treatment as a first approach, treatment success was associated with a softer phytobezoar consistency (p = 0.023).. in conclusion, most patients achieve a favorable outcome. Chemical therapy is useful in selected cases. Repeated endoscopic therapies may be needed in order to completely remove phytobezoars with a hard consistency.

Topics: Adult; Aged; Aged, 80 and over; Bezoars; Carbonated Beverages; China; Female; Fruit; Gastroscopy; Humans; Male; Middle Aged; Retrospective Studies; Sodium Bicarbonate; Stomach; Treatment Outcome; Vegetables

Topics: Administration, Oral; Aged; Bezoars; Diagnosis, Differential; Esophagoscopy; Esophagus; Fabaceae; Humans; Male; Sodium Bicarbonate

Topics: Alginates; Aluminum Hydroxide; Antacids; Bezoars; Diagnosis, Differential; Drug Combinations; Esophagitis, Peptic; Female; Humans; Infant, Newborn; Radiography, Thoracic; Silicic Acid; Sodium Bicarbonate; Stomach

Topics: Bezoars; Carbon Dioxide; Carbonated Beverages; Expectorants; Humans; Sodium Bicarbonate; Stomach

The gastric accumulation of enteric-coated aspirin tablets due to peptic ulcer disease or gastric outlet scarring and the impaired gastric emptying that results have been previously reported. In the case reported herein, an unanticipated peaking of plasma salicylate levels occurred following radiographic studies in which barium was used. This phenomenon prompted an in vitro study in which dissolution rates of enteric-coated aspirin in various barium preparations were determined, suggesting that dissolution is dependent upon effervescent activity of the milieu, as well as pH. The use of barium in diagnosing suspected accumulation of enteric-coated aspirin is discussed, and techniques for tablet removal are reviewed.

Topics: Aged; Aspirin; Barium Sulfate; Bezoars; Bicarbonates; Female; Humans; Radiography; Salicylates; Sodium; Sodium Bicarbonate; Stomach; Tablets, Enteric-Coated; Therapeutic Irrigation

Topics: Alginates; Aluminum Hydroxide; Antacids; Bezoars; Bicarbonates; Drug Combinations; Female; Humans; Infant; Infant, Newborn; Male; Silicic Acid; Silicon Dioxide; Sodium Bicarbonate; Stomach

A case of progressive vomiting in a boy aged 5 months is reported. Vomiting was secondary to an obstruction in the antrum of the stomach caused by a mass consisting of alginate.

Topics: Alginates; Aluminum Hydroxide; Antacids; Bezoars; Bicarbonates; Domperidone; Drug Combinations; Humans; Infant; Male; Silicic Acid; Silicon Dioxide; Sodium Bicarbonate; Stomach; Vomiting