AI Article Synopsis

  • Balloon-assisted enteroscopy (BAE) is an invasive procedure with risks like pain and perforation, but using lubricants can help reduce these risks.
  • A study developed a model using human small intestines to measure dynamic friction coefficients (DFC) and find the ideal viscosities for low-friction lubricants.
  • The results indicate that the viscosity of lubricants (0.20-0.32 Pa·s for overtube and 0.35-0.58 Pa·s for endoscopic shaft) significantly reduces DFC, suggesting that appropriate lubricants can make BAE less invasive.

Article Abstract

Balloon-assisted enteroscopy (BAE) is highly invasive and carries a higher risk of complications such as pain and perforation during enteroscope insertion. Applying lubricants to the small intestinal mucosa and reducing the dynamic friction coefficient (DFC) between the small intestinal mucosa and endoscopic shaft (ES) (or overtube (OT)) can minimize the invasiveness of BAE. However, the ideal viscosity characteristics of these lubricants remain unknown. In this study, a model is developed to measure the DFC using human small intestines from forensic autopsies and determine the ideal viscosity of low-friction lubricants that exhibit a minimal DFC, thus reducing the pressure on the intestinal lining during the procedure. The results reveal that the DFC is strongly correlated to the lubricant's viscosity rather than its chemical composition. Low-friction lubricants with viscosities within 0.20-0.32 and 0.35-0.58 Pa·s (at shear rates of 10 s) for the OT and ES, respectively, can significantly reduce the DFC, yielding optimal results. These findings highlight the role of viscosity in minimizing the friction between the equipment and small intestinal mucosa. The ideal low-friction lubricants satisfying the aforementioned viscosity ranges can minimize the invasiveness of BAE by decreasing the friction between the equipment and intestinal lining.

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Source
http://dx.doi.org/10.1002/mabi.202400285DOI Listing

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