Mucolytic-antifoam solution for reduction of artifacts during endoscopic ultrasonography: A randomized controlled trial Journal Article


Authors: Yiengpruksawan, A.; Lightdale, C. J.; Gerdes, H.; Botet, J. F.
Article Title: Mucolytic-antifoam solution for reduction of artifacts during endoscopic ultrasonography: A randomized controlled trial
Abstract: Gastric mucus and air bubbles are frequent sources of artifacts during endoscopic ultrasonography (EUS). To reduce these artifacts, we prepared a mucolytic-antifoam solution consisting of simethicone, acetyicysteine, and sodium bicarbonate and performed a prospective randomized and controlled trial comparing this solution (21 patients) to a placebo (22 patients) during EUS. Eight patients in the drug group received a perfect score for both mucolytic and antifoam effect compared with none in the placebo group (p < 0.001). For overall rating, the drug group received a total of 10 excellents and 9 goods compared with 9 goods, 10 satisfactories, and 1 unacceptable in the placebo group (p < 0.001). There were no complications associated with the solution. In conclusion, a mucolytic-antifoam solution improved endoscopic visualization and reduced artifacts during EUS study. Its routine use during EUS procedures is therefore recommended. © 1991, American Society for Gastrointestinal Endoscopy. All rights reserved.
Keywords: adult; clinical article; controlled study; aged; placebo; image quality; diagnosis; echography; gastroscopy; stomach; oral drug administration; bicarbonate; acetylcysteine; simethicone; human; male; female; priority journal; article; mucolysis
Journal Title: Gastrointestinal Endoscopy
Volume: 37
Issue: 5
ISSN: 0016-5107
Publisher: Mosby Elsevier  
Date Published: 1991-09-01
Start Page: 543
End Page: 546
Language: English
DOI: 10.1016/s0016-5107(91)70825-0
PUBMED: 1657680
PROVIDER: scopus
DOI/URL:
Notes: Article -- Source: Scopus
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  1. Hans Gerdes
    176 Gerdes
  2. José F. Botet
    60 Botet