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EndoTODAY ³»½Ã°æ ±³½Ç


[Mucolytics]

1. Yao ¼±»ý´ÔÀÇ Ãßõ

»óºÎÀ§Àå°ü ³»½Ã°æ ½Ã¼úÀÇ ±¹°¡°£ Â÷ÀÌ (Uedo N. Digest Endosc 2016)¿¡ ´ëÇÑ ³í¹®¿¡ mucolytics ºÎºÐÀÌ ÀÖ¾ú½À´Ï´Ù.

ÀϺ»¿¡¼­´Â mucolytics/deforming agents¸¦ °ÅÀÇ Ç×»ó »ç¿ëÇϴ±º¿ä.

Yao ¼±»ý´ÔÀÇ Development of an e-learning system ³í¹®¿¡ ½Ç¸° ³»¿ëÀ» ¿Å±é´Ï´Ù.

The correct preparation for endoscopic examination is mandatory to minimize time and effort during the procedure, i.e., the removal of mucus and froth from the mucosal surface. Thirty minutes before the procedure, patients are asked to drink a mixture of water with mucolytic and defoaming agents. The formula in Japan is 100 mL of water with 20,000 U Pronase¢ç (Kaken Pharmaceutical, Tokyo, Japan), 1 g of sodium bicarbonate, and 10 mL of dimethylpolysiloxane (20 mg/mL, Horii Pharmaceutical Ind., Osaka, Japan). However, Pronase¢ç is not available for use in all countries. An alternative mixture comprises 100 mL of water mixed with 2 mL of acetylcysteine (200 mg/mL Parvolex¢ç, Celltech, Slough, UK; or Mucomyst, Bristol-Myers Squibb, New York, NY, USA), and 0.5 mL activated dimethicone (40 mg/mL, Infacol¢ç, Forest Laboratories, Dartford, UK).


2. ÀϺ» Á¶±âÀ§¾Ï ³»½Ã°æ Áø´Ü °¡À̵å¶óÀÎ

Mucolytics°¡ °­ÇÏ°Ô ÃßõµÇ¾ú½À´Ï´Ù.


[References]

1) Development of an e-learning system. Kenshi Yao, et al. Gastric Cancer 2017

© ÀÏ¿ø³»½Ã°æ±³½Ç ¹Ù¸¥³»½Ã°æ¿¬±¸¼Ò ÀÌÁØÇà. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng.