No follow-up information was provided regarding recurrences of phytobezoars, although it is assumed that some of the patients became addicted to Coca-Cola and therefore engaged in long-term phytobezoar prophylaxis.
The mechanism of action of Coca-Cola in dissolving phytobezoars is not certain, but it is believed to be related to its strong acidity (pH 2.
Systematic review: Coca-Cola can effectively dissolve gastric phytobezoars as a first-line treatment.
Also, dietary consumption of unshelled seeds or seeds with shell fragments should be accompanied by an awareness that large quantities may lead to phytobezoar
formation and intestinal obstruction.
The medical dissolution of phytobezoars
Phytobezoar (a concentration of poorly digested fibers, fruit seeds, pulpy fruits, like oranges and persimmons) is a rare cause of small bowel obstruction.
5) In all cases, the stomach should be explored for an additional phytobezoar.
In our case, since previously detected gastric phytobezoar was not removed, it migrated to the small bowel and caused obstruction.
CT findings in patients with small bowel obstruction due to phytobezoar.
Emphysematous gastritis with perforation complicating phytobezoar
Gastric phytobezoars consequent to delayed gastric emptying.
Laparoscopic removal of large gastric phytobezoars.