Water-Soluble Alternative to Simethicone to Safely Visualize GI-Tract. Have We Found Our White Whale?
Purpose: To evaluate a safe alternative to simethicone, that aligns with the scope manufacturer recommendations, and eliminates GI bubbles to improve provider visualization. Hypothesis: GI Ease will improve bubble scale scores to improve visualization of the GI tract and facilitate polyp detection....
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ftpjshealth:oai:digitalcommons.psjhealth.org:swedish_learning_day_posters-1004 2023-05-15T18:44:05+02:00 Water-Soluble Alternative to Simethicone to Safely Visualize GI-Tract. Have We Found Our White Whale? Mallard, Teri Roswell, Sandra Ramakrishnan, Amarnath 2022-01-01T08:00:00Z application/pdf https://digitalcommons.psjhealth.org/swedish_learning_day_posters/5 https://digitalcommons.psjhealth.org/cgi/viewcontent.cgi?article=1004&context=swedish_learning_day_posters unknown Providence St. Joseph Health Digital Commons https://digitalcommons.psjhealth.org/swedish_learning_day_posters/5 https://digitalcommons.psjhealth.org/cgi/viewcontent.cgi?article=1004&context=swedish_learning_day_posters All Poster Presentations swedish learning 21 seattle swedish Gastroenterology text 2022 ftpjshealth 2022-09-25T17:01:12Z Purpose: To evaluate a safe alternative to simethicone, that aligns with the scope manufacturer recommendations, and eliminates GI bubbles to improve provider visualization. Hypothesis: GI Ease will improve bubble scale scores to improve visualization of the GI tract and facilitate polyp detection. Background: Multiple independent studies have shown that simethicone, even when highly diluted, remains in the endoscope working channel after all manual cleaning and reprocessing protocols have been followed correctly. Although simethicone effectively eliminates gas bubbles, it carries unacceptable risks. It is insoluble in water and alcohol, challenging to remove, and may foster biofilm build-up and microbial proliferation. Due to these infection risks, and potential damage to scopes from over brushing, all endoscope manufacturers have recommended against simethicone use. GI Ease is a water-based, anti-gas product that is water-soluble and does not contain sugars, thickeners, or binding agents. It may be an alternative which improves visualization, without carrying the infection risks that simethicone poses. Method: After receiving IRB approval, we used a prospective, quasi-experimental design with 100 subjects. Sixty-four mL of GI Ease was diluted in 1000 mL of sterile water. During the endoscopy procedure, we flushed GI Ease through the biopsy channel. Each flush was 50-60 mL. Using the bubble scale scoring system, ranging from 3 (bubbles filling the entire lumen) to 0 (no or minimal bubbles), a score was determined by the endoscopist. Results: A bubble score was assigned before and after GI Ease was used. The number of flushes needed depended upon bubbles identified in the GI tract. In 99/100 participants, the bubble scale score was improved to 0-1, facilitating GI visualization. Our pre-post paired t-test of bubble scores showed significant bubble decline (t=27, p Conclusions: GI Ease, a water-soluble solution, reduced GI gas bubbles and improved visualization. Manual cleaning of the endoscope post procedure was ... Text White whale Providence St. Joseph Health Digital Commons |
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Providence St. Joseph Health Digital Commons |
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swedish learning 21 seattle swedish Gastroenterology |
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swedish learning 21 seattle swedish Gastroenterology Mallard, Teri Roswell, Sandra Ramakrishnan, Amarnath Water-Soluble Alternative to Simethicone to Safely Visualize GI-Tract. Have We Found Our White Whale? |
topic_facet |
swedish learning 21 seattle swedish Gastroenterology |
description |
Purpose: To evaluate a safe alternative to simethicone, that aligns with the scope manufacturer recommendations, and eliminates GI bubbles to improve provider visualization. Hypothesis: GI Ease will improve bubble scale scores to improve visualization of the GI tract and facilitate polyp detection. Background: Multiple independent studies have shown that simethicone, even when highly diluted, remains in the endoscope working channel after all manual cleaning and reprocessing protocols have been followed correctly. Although simethicone effectively eliminates gas bubbles, it carries unacceptable risks. It is insoluble in water and alcohol, challenging to remove, and may foster biofilm build-up and microbial proliferation. Due to these infection risks, and potential damage to scopes from over brushing, all endoscope manufacturers have recommended against simethicone use. GI Ease is a water-based, anti-gas product that is water-soluble and does not contain sugars, thickeners, or binding agents. It may be an alternative which improves visualization, without carrying the infection risks that simethicone poses. Method: After receiving IRB approval, we used a prospective, quasi-experimental design with 100 subjects. Sixty-four mL of GI Ease was diluted in 1000 mL of sterile water. During the endoscopy procedure, we flushed GI Ease through the biopsy channel. Each flush was 50-60 mL. Using the bubble scale scoring system, ranging from 3 (bubbles filling the entire lumen) to 0 (no or minimal bubbles), a score was determined by the endoscopist. Results: A bubble score was assigned before and after GI Ease was used. The number of flushes needed depended upon bubbles identified in the GI tract. In 99/100 participants, the bubble scale score was improved to 0-1, facilitating GI visualization. Our pre-post paired t-test of bubble scores showed significant bubble decline (t=27, p Conclusions: GI Ease, a water-soluble solution, reduced GI gas bubbles and improved visualization. Manual cleaning of the endoscope post procedure was ... |
format |
Text |
author |
Mallard, Teri Roswell, Sandra Ramakrishnan, Amarnath |
author_facet |
Mallard, Teri Roswell, Sandra Ramakrishnan, Amarnath |
author_sort |
Mallard, Teri |
title |
Water-Soluble Alternative to Simethicone to Safely Visualize GI-Tract. Have We Found Our White Whale? |
title_short |
Water-Soluble Alternative to Simethicone to Safely Visualize GI-Tract. Have We Found Our White Whale? |
title_full |
Water-Soluble Alternative to Simethicone to Safely Visualize GI-Tract. Have We Found Our White Whale? |
title_fullStr |
Water-Soluble Alternative to Simethicone to Safely Visualize GI-Tract. Have We Found Our White Whale? |
title_full_unstemmed |
Water-Soluble Alternative to Simethicone to Safely Visualize GI-Tract. Have We Found Our White Whale? |
title_sort |
water-soluble alternative to simethicone to safely visualize gi-tract. have we found our white whale? |
publisher |
Providence St. Joseph Health Digital Commons |
publishDate |
2022 |
url |
https://digitalcommons.psjhealth.org/swedish_learning_day_posters/5 https://digitalcommons.psjhealth.org/cgi/viewcontent.cgi?article=1004&context=swedish_learning_day_posters |
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White whale |
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White whale |
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All Poster Presentations |
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https://digitalcommons.psjhealth.org/swedish_learning_day_posters/5 https://digitalcommons.psjhealth.org/cgi/viewcontent.cgi?article=1004&context=swedish_learning_day_posters |
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