[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-440659-105":59,"doc-detail-440659-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","management-of-a-large-bone-impaction-in-the-esophagus-with-cola-and-catheters-a-case-report-and-literature-review","Management of a Large Bone Impaction in the Esophagus With Cola and Catheters - A Case Report and Literature Review","","Foreign body ingestion (FBI) is a common emergency presentation, and esophageal food impaction can cause serious morbidity requiring urgent intervention. Cola is widely used for fruit bezoars, but its role in meat and bone bezoars is rarely reported. This case report describes management of a large lamb bone impaction in the esophagus of a 64-year-old man using cola injection plus endoscopic techniques. After conventional methods failed, cola reduced the impaction, enabling passage into the stomach. Post-procedure monitoring and follow-up CT confirmed no esophageal perforation.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/management-of-a-large-bone-impaction-in-the-esophagus-with-cola-and-catheters-a-case-report-and-literature-review/440659/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/management-of-a-large-bone-impaction-in-the-esophagus-with-cola-and-catheters-a-case-report-and-literature-review/440659.png","ImageObject",300,407,{"name":92,"@type":93},"dabgoudw","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-29","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"Why is esophageal food impaction considered high risk?","Question",{"text":113,"@type":114},"Esophageal food impaction can lead to significant morbidity and requires timely intervention to prevent serious complications.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What problem did conventional endoscopic techniques face in this case?",{"text":118,"@type":114},"Conventional endoscopic methods to remove or reduce the size of the impaction were unsuccessful for the large lamb bone.",{"name":120,"@type":111,"acceptedAnswer":121},"How did cola injection help resolve the obstruction?",{"text":122,"@type":114},"Cola was injected through the soft portion of the impaction, effectively reducing its size and allowing it to pass into the gastric cavity with gentle manipulation.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},440659,1790766205,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":34,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},3985747860484,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Clinical Case Reports  \nCASE REPORT  OPEN ACCESS   \nManagement of a Large Bone Impaction in the Esophagus With Cola and Catheters: A Case Report and Literature Review  \nNegar Ghasemloo1 | Amir Nasrollahizadeh2  | Sepide Javankiani2  | Pedram Ramezani3 | Arash Hassanpour Dargah4 | Harsh Kumar5 | Maryam Taheri6  | Changiz Delavari7 | Pouya Ebrahimi3   \n1Faculty of Medicine, University of Medical Sciences, Tehran, Iran | 2Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran | 3NonCommunicable Disease Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences,  \nTehran, Iran | 4Faculty of Medicine, Alborz University of Medical Sciences, Karaj, Iran | 5Liaquat National Hospital and Medical College, Karachi, Pakistan | 6Tehran Heart Center, Cardiovascular Disease Research Institute, Tehran University of Medical Sciences, Tehran, Iran | 7Department of Plastic  \nSurgery, Imam Khomeini Hospital of Tehran, Tehran University of Medical Sciences, Tehran, Iran Correspondence: Pouya Ebrahimi ([pouyaebrahimi1992@gmail.com](pouyaebrahimi1992@gmail.com))  \nReceived: 25 April 2025 | Revised: 1 September 2025 | Accepted: 14 December 2025  \nKeywords: bone impaction | case report | endoscopic intervention | esophageal food impaction (EFI) | foreign body ingestion (FBI)  \nABSTRACT  \nForeign body ingestion (FBI) is a common emergency room presentation, especially among younger patients and those with certain medical conditions. Food impaction, particularly in the esophagus, can lead to significant morbidity and requires timely intervention. While cola is commonly used for fruit bezoars, its application in treating meat and bone bezoars is rare. This case report details the management of a large bone impaction in the esophagus of a 64-year-old male using Cola and endoscopic techniques. A 64-year-old male presented to the emergency department with severe chest pain and a sensation of food impaction after consuming a meal. Initial evaluations, including a chest X-ray and electrocardiogram, showed no abnormalities. The patient was referred to a gastrointestinal (GI) clinic, where an endoscopy revealed a large piece of lamb bone impacted in the esophagus. Conventional endoscopic methods to remove or reduce the size of the impaction were unsuccessful. Cola was then injected through the soft portion of the food impaction, effectively reducing its size and allowing it to pass into the gastric cavity with gentle manipulation. The patient was monitored post-procedure and discharged after a follow-up computed tomography (CT) scan, which confirmed no esophageal perforation.  \n1 | Introduction  \nForeign body ingestion (FBI) is a frequent cause of presentation (or complaint) among emergency room patients. These incidents can result in severe consequences and even mortality. FBI is the involuntary entrance of any item or food particle and swallowing  \nduring feeding or taking medications. It is called impaction if it obstructs the gastrointestinal (GI) lumens [1] . These incidents are more commonly seen in younger patients, especially infantsand toddlers, due to the process of oral fixation and their tendency to explore their toys [2] . However, it might also be seen in adults who take them unintentionally, although some conditions  \n\n| Abbreviations: ASGE, American Society for Gastrointestinal Endoscopy; BID, twice daily; CBC, complete blood count; CC, chief complaint; CMP, complete metabolic panel; CT, computed tomography; EFI, esophageal food impaction; EGD, esophagogastroduodenoscopy; ER, emergency department; ESGE, European Society of Gastrointestinal Endoscopy; FBI, foreign body ingestion; GI, gastrointestinal; HX, history; IHD, ischemic heart disease; IV, intravenous; LAD, left anterior descending; N/V, nausea/vomiting; NPO, nil per os; PE, physical examination; PPI, proton pump inhibitor; Prog, progression; PSA, prostate specific antigen; RCA, right coronary artery; SOB, shortness ","cbCaij1XdQ2EipAg","https://ap.wps.com/l/cbCaij1XdQ2EipAg","pdf",889316,"English","# Introduction\n## Case Presentation and Initial Evaluation\n## Endoscopic Findings and Failed Conventional Removal\n## Cola Injection Technique and Outcome\n## Post-Procedure Monitoring and Follow-Up\n## Key Clinical Message","[{\"question\":\"Why is esophageal food impaction considered high risk?\",\"answer\":\"Esophageal food impaction can lead to significant morbidity and requires timely intervention to prevent serious complications.\"},{\"question\":\"What problem did conventional endoscopic techniques face in this case?\",\"answer\":\"Conventional endoscopic methods to remove or reduce the size of the impaction were unsuccessful for the large lamb bone.\"},{\"question\":\"How did cola injection help resolve the obstruction?\",\"answer\":\"Cola was injected through the soft portion of the impaction, effectively reducing its size and allowing it to pass into the gastric cavity with gentle manipulation.\"}]","Management of a Large Bone Impaction in the Esophagus With Cola and Catheters - A Case Report and Literature Review | PDF",1790692870,18]