Novel Polymeric Formulation for Removal of Gastrointestinal Polyps by Digestive Endoscopy

Abstract

Endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) are two techniques used in the resection of gastrointestinal mucosal polyps. The aim of this work is the development and evaluation of an innovative polymeric solution containing sodium carboxymethylcellulose and hyaluronic acid. For this purpose, several mixtures of these two main components, as well as other components such as fructose, citric acid, and zinc, are evaluated in terms of physicochemical and microbiological properties, rheological behavior, extensibility, syringeability, and stability at different storage conditions. Furthermore, the potential production of mucosal elevation and duration is also studied by an ex vivo model using porcine stomach and colon. Results show that the developed polymeric solutions possess optimal values of pH, from 4.58 to 6.63, for their use in the gastrointestinal tract. The formulations exhibit both Newtonian and pseudoplastic behaviors with different viscosity values as a function of their composition. All formulations exhibit high stability properties and no bacterial or fungal growth is detected. MCS01 and MCS05 are the polymeric solutions with the best syringeability results. In this line, MCS05 is the formulation that provides the highest, 2.20 ± 0.18 cm and 1.40 ± 0.11 cm, and longest-lasting, for more than 120 min, elevation effect on porcine submucosal stomach and colon tissues, respectively. Thus, it can be concluded that polymeric solution MCS05 might be considered as a promising tool for use in human EMR and ESD.

Alginate Hydrogel Formulation with Ketorolac for the Treatment of Pain Related Sialolithiasis

“…Studies have been conducted to show that syringeability is important in determining the maximum force and work required to expel formulations from the syringe in medication application [31].…”

“…The syringe administration device is an attractive option to obtain precise contact on these areas. One of the important aspects of the characterization is to measure the maximum force and work required to expel formulations from the syringe in medication application [31] and so to evaluate the ease of removing the formulation from the container and to apply the product.…”