Composition for producing a temporary intestinal occlusion
A composition and blockage technology, which are applied in the fields of enteroscopy and intestinal surgery, and can solve the problems of difficult and long surgical procedures, danger, and patient infection.
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Embodiment 1 and 2
[0053] Examples 1 and 2 - two component system
[0054] A hydrocolloid solution or suspension of the swollen polymer at a concentration close to the gel point, referred to as Formulation A, was pumped to the desired blockage site via a conventional endoscope. A sufficient amount of flowable gelling agent of Formulation B is dispensed through the same or a second catheter of the endoscope to the same location inside the intestinal tract. Viscosity and pump pressure are selected in such a way that, on the one hand, the two formulations can be transported quickly to the target location in order to prevent too drastic temperature changes of the respective formulations in the ducts, and, on the other hand, to ensure a rapid transport of the two formulations. Mix to prevent large amounts of both fluids from draining from the blockage.
Embodiment 1
[0055] Example 1: The polymer itself acts as a gelling agent
[0056] The formulations A and B are colloidal solutions of agar-agar, gelatin, carrageen, etc., in which, optionally, chemical deformations are carried out, said random deformations, such as accelerated completion of temperature changes , the colloid-to-sol transition takes place in this temperature change, hereinafter referred to as "gelling agent temperature", which generally corresponds to 35°C in the case of gelatin and 45°C in the case of agar, Or in order to improve the solubility, in addition, a solid colloid of 1% solution can be formed first. Alternatively or additionally, surfactants such as non-ionic surfactants such as copolymers of ethylene oxide and propylene oxide may be added, or another suitable solvent may be added as solubility promoters, which Solvents have the effect of gelling only at higher concentrations.
[0057] Without the addition of such co-solvents, Formulation A can be an aqueous so...
Embodiment 2
[0060] Embodiment 2: add gelling agent
[0061] As described in Example 1, Formulation A is an approximately 0.9% solution of gelatin, agar, or similar optionally modified polypeptide or polysaccharide, and Formulation B is a separate gelling agent, such as saturated saline. The two components are mixed, the polymer having a lower solubility than in salt, such that the polymer coagulates and coagulates to form the desired plug.
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