Abstract |
A 58-year-old man went to his physician with complaints of midepigastric pain, flatulence, belching, and shortness of breath. During a physical examination, the patient was in no acute distress. The patient underwent an ultrasound examination, which revealed cholelithiasis, a laparoscopic cholecystectomy, which revealed chronic gallbladder disease, and esophagogastroduodenoscopy, which revealed gastritis, a hiatal hernia, and a phytobezoar. To treat the bezoar, the patient was given Adolph's Meat Tenderizer 1 teaspoonful in 8 oz of water before each meal for 7 days. This product contains papain, a proteolytic enzyme, that is thought to cleave protein linkages within bezoars. The patient's symptoms resolved with no adverse events reported, and follow-up endoscopy revealed resolution of the phytobezoar. Although a few other agents are used to treat phytobezoars, little clinical data exist on their safety and effectiveness. Adolph's Meat Tenderizer appears to be a safe and effective treatment for patients with a phytobezoar.
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Authors | Erica L Baker, William L Baker, David J Cloney |
Journal | Pharmacotherapy
(Pharmacotherapy)
Vol. 27
Issue 2
Pg. 299-302
(Feb 2007)
ISSN: 0277-0008 [Print] United States |
PMID | 17253920
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Drug Combinations
- Sodium, Dietary
- meat tenderizer
- Papain
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Topics |
- Bezoars
(diagnosis, drug therapy)
- Drug Combinations
- Humans
- Male
- Middle Aged
- Papain
(therapeutic use)
- Sodium, Dietary
(therapeutic use)
- Treatment Outcome
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