Simşek Zahide, Altınbaş Akif, Delibaşı Tuncay, Yüksel Osman
Dışkapı Yıldırım Beyazıt Education and Research Hospital, Department of Gastroenterology, Ankara, Turkey.
Turk J Gastroenterol. 2013;24(4):330-3. doi: 10.4318/tjg.2013.0739.
BACKGROUND/AIMS: During removal of intragastric balloon, there is a great deal of gastric undigested food even after an eight-hour starvation. Bromelain, a proteolytic enzyme existing in the pineapple juice seems to be a good choice for the undigested food remnants in the stomach. We aimed to investigate the effect of drinking pineapple juice on dissolving food remnants in patients undergoing endoscopic procedure for removal of intragastric balloon.
In this study, we included patients who had undergone endoscopic placement of intragastric balloon (BIB®, BioEnterics Intragastric Balloon, Inamed Health, CA, USA) between February 2009 and March 2012. First 8 patients were asked to fast the whole night before the procedure (at least 8 hours) and to apply clear liquid diet for 3 days before the endoscopic removal. A great amount of food remnants was seen in the stomach during the endoscopic balloon removal procedure. A second endoscopic procedure was planned 3 days later and, in order to decrease the food remnants, the patients were asked to drink 1 L pineapple juice per day. The next 11 patients were also advised to drink 1 liter per day of 100% pineapple juice for 3 days before the endoscopic removal.
Totally, 19 obese patients (17 female, 2 male) were included in the study. Mean age was 38,68±7,95 years, mean weigh was 124,23±19,30 kg, and mean body mass index was 49,73±9,22 kg/m 2 . There was undigested food in the stomach during endoscopic removal in the first 8 patients. However, no undigested food in the stomach was found at the second endoscopic examination. In the other 11 patients, no food remnants were observed after taking pineapple juice prior to the endoscopic removal procedure.
Drinking pineapple juice for 3 days before endoscopic balloon removal seems to be effective in dissolving food remnants in the stomach. Drinking pineapple juice may be recommended in all patients undergoing endoscopic procedure for removal of intragastric balloon.
背景/目的：在取出胃内球囊时，即使经过8小时禁食，胃内仍有大量未消化的食物。菠萝蛋白酶是菠萝汁中存在的一种蛋白水解酶，似乎是清除胃内未消化食物残渣的一个不错选择。我们旨在研究饮用菠萝汁对接受内镜下胃内球囊取出术患者胃内食物残渣溶解的影响。
本研究纳入了2009年2月至2012年3月间接受内镜下放置胃内球囊（BIB®，BioEnterics胃内球囊，Inamed Health，加利福尼亚州，美国）的患者。前8例患者在手术前需禁食整晚（至少8小时），并在内镜取出术前3天采用清流食。在内镜下球囊取出术中，胃内可见大量食物残渣。3天后计划进行第二次内镜检查，为减少食物残渣，要求患者每天饮用1升菠萝汁。接下来的11例患者也被建议在内镜取出术前3天每天饮用1升100%菠萝汁。
本研究共纳入19例肥胖患者（17例女性，2例男性）。平均年龄为38.68±7.95岁，平均体重为124.23±19.30千克，平均体重指数为49.73±9.22千克/平方米。前8例患者在内镜取出术中胃内有未消化食物。然而，在第二次内镜检查时未发现胃内有未消化食物。在另外11例患者中，在内镜取出术前饮用菠萝汁后未观察到食物残渣。
在内镜下球囊取出术前3天饮用菠萝汁似乎对溶解胃内食物残渣有效。对于所有接受内镜下胃内球囊取出术的患者，建议饮用菠萝汁。
