阅读说明：本技术 辅助饮料 (Auxiliary beverage ) 是由 R·高菲瑞 M·斯多驰 A·凯普利 F·吉亚侬 M·兰祖利 于 2020-03-03 设计创作，主要内容包括：一种辅助饮料,其包含水基混合物,所述水基混合物包含80-85重量/重量％的水、0.2-0.5重量/重量％的盐、0.2-0.5重量/重量％的琼脂和/或植物果胶和/或淀粉、0.3-0.5重量/重量％的玫瑰茄茶和/或含有锦葵和/或燕麦的草本茶、15-20重量/重量％的简单碳水化合物、0.1-0.3重量/重量％的至少一种酸化剂。该辅助饮料可用作口服造影剂,用于肠系膜小肠的磁共振成像(肠-MRI)实施。(A supporting beverage comprising a water-based mixture comprising 80-85% w/w water, 0.2-0.5% w/w salt, 0.2-0.5% w/w agar and/or plant pectin and/or starch, 0.3-0.5% w/w roselle tea and/or herbal tea containing mallow and/or oats, 15-20% w/w simple carbohydrates, 0.1-0.3% w/w at least one acidulant. The adjuvant beverage can be used as oral contrast agent for magnetic resonance imaging (enteric-MRI) of mesenteric small intestine.)

1. A secondary beverage, wherein the secondary beverage comprises a water-based mixture comprising:

80-85% w/w water;

0.2-0.5 wt/wt% salt;

0.2-0.5% by weight/weight of agar and/or vegetable pectin and/or starch;

0.3-0.5 wt/wt% of Hibiscus sabdariffa tea and/or herbal tea comprising mallow and/or oat;

15-20 wt/wt% simple carbohydrate;

0.1-0.3 wt/wt% of at least one acidulant.

2. An auxiliary beverage as claimed in claim 1, wherein the salt comprises 0.2-0.5% w/w magnesium sulphate and/or epsom salt and/or magnesium chloride and/or magnesium hydroxide.

3. The auxiliary beverage as claimed in claim 2, wherein the simple carbohydrates comprise 15-20% w/w of filtered apple juice and/or filtered pomegranate juice, carrot juice, blueberry juice.

4. A supporting beverage as claimed in claim 3, which comprises 0.4 to 0.8% w/w mannitol and/or mannose and/or mannitol and/or D-mannitol and/or sorbitol and/or xylitol.

5. An auxiliary beverage as claimed in claim 4, wherein the acidulant comprises one or more juices of citrus fruit and/or citric and/or malic acid.

6. A beverage as claimed in claim 5, wherein 900ml of the beverage comprises: 750 grams of water, 3 grams of agar, 4 grams of roselle tea, 150 grams of apple juice, 5 grams of mannitol, 3 grams of magnesium sulfate, 2 grams of lemon juice.

7. Method for preparing an auxiliary beverage according to any of claims 1 to 6, characterized in that it comprises the following phases:

mixing water and agar, and/or vegetable pectin and/or starch;

boiling the mixture;

injecting Hibiscus sabdariffa tea and/or mallow and/or oat herbal tea into the mixture for 5 min;

filtering the mixture;

adding a simple carbohydrate and an acidulant to the mixture;

the mixture was allowed to cool.

8. Method for preparing an auxiliary beverage according to any of claims 1 to 6, characterized in that it comprises the following phases:

heat dissolving agar, and/or plant pectin and/or starch;

heat-dissolving Hibiscus sabdariffa tea and/or mallow and/or oat herbal tea separately from agar;

cold dissolving salt and simple carbohydrates;

mixing the previously prepared solutions according to the geometric dilution principle;

the acidified solution was added.

9. Use of the supporting beverage according to any one of claims 1 to 6 as an oral contrast agent for magnetic resonance imaging (gut-MRI) implementation of the mesenteric small intestine.

Technical Field

The invention relates to an auxiliary beverage (adjuvant beverage).

More particularly, the present invention relates to a support drink that is particularly effective as an oral contrast agent for performing mesenteric small intestine (mesenteric intestine) imaging, especially in magnetic resonance imaging.

Description of the prior art

Magnetic Resonance Imaging (MRI) of the mesenteric small intestine, also known as "gut-MRI", is a diagnostic technique for observing and studying the small intestine (which is otherwise difficult to examine and evaluate by imaging, even with endoscopic techniques that rely exclusively on the use of video capsules).

In fact, a gastroduodenoscope can scan the stomach and duodenum, whereas a colonoscope can only scan the colon.

Therefore, bowel-MRI (Entero-MRI) is an innovative approach using the latest generation of magnetic resonance devices, which allows to assess all intestinal disorders, including inflammation (enteritis) and tumors.

In particular, bowel-MRI is a reference technique for the assessment and follow-up of chronic inflammatory bowel diseases such as (but not limited to) crohn's disease and ulcerative colitis (ulcerative rectal colitis).

This type of examination has now replaced traditional small bowel examination techniques, such as with barium (serial small bowel).

In fact, compared to the above-mentioned techniques, intestinal-MRI uses no radiation, is better tolerated by the patient and allows more information content to be obtained.

In more detail, the series of studies with barium agents allows to make the intestinal lumen opaque and therefore to evaluate only the effect on the intestinal lumen of any pathology affecting the intestinal wall: in other words, only indirect signs of possible bowel wall pathologies can be identified using this technique.

On the other hand, bowel-MRI allows one to look directly at the bowel wall and its layers, thus enabling direct investigation of sites of onset (onset site) of any pathology.

It should also be noted that unlike traditional examinations, bowel-MRI also allows assessment of the entire area near the bowel, including vessels, lymph nodes, mesentery and major organs in the abdominal pelvic region.

Thus, due to the constant improvement of magnetic resonance techniques, some entero-MRI sequences currently also allow a dynamic assessment of the intestinal peristalsis (i.e. small bowel movements, which may change in certain pathologies).

Last but not least, any small bowel tumour lesions can be identified by bowel-MRI.

This is a very important feature of the method, since small bowel tumour lesions are only rarely (in 10% of cases) symptomatic and therefore in most cases not found at all over a long period of time.

However, there are some drawbacks to using the intestinal magnetic resonance imaging technique.

To date, the main limitation of bowel-MRI has been the preliminary stage prior to actual examination, i.e. it involves administering to the patientA medicine is provided.

This is a contrast agent for oral administration, which is not always well tolerated because many patients find swallowing uncomfortable.

In addition, in order to obtain a desired therapeutic effect, it must be ingested in a large amount in a short time.

This may lead to the onset of abdominal pain and/or bloating, diarrhea and nausea.

In addition, as described in its package insert,there are a number of contraindications listed below:

-allergy to the active ingredient or any excipients;

-perforation of the gastrointestinal tract;

severe inflammatory bowel diseases (such as ulcerative proctocolitis, toxic megacolon, crohn's disease);

-intestinal occlusion, sub-occlusion or stenotic episodes (stenotic epidesos), gastric retention, dynamic ileus, paralytic ileus;

abdominal pain of unknown origin, acute colitis, nausea, vomiting, marked worsening or reduction of peristalsis, rectal bleeding (the appearance of one or more of the above signs and symptoms requires a thorough and thorough examination by a physician to rule out the presence of pathologies in which the use of laxatives is contraindicated, see the preceding points);

-a severe dehydration state;

-children under 8 years of age and weighing less than 20 kg;

normally disabled during pregnancy.

In this respect, it should be noted that most of the contraindications listed above are themselves situations where a bowel-MRI examination is required.

Therefore, most of the intestinal-MRI scans (for forbidden use)Of (c) should be performed using different contrast agents.

Object of the Invention

The technical aim of the present invention is to improve the state of the diagnostic method of intestinal pathologies or other relevant sectors.

Within the scope of this technical aim, an object of the invention is to develop alternativesA natural, more palatable drink, which drink may beAs contrast agents for bowel-MRI or other similar diagnostic techniques.

It is another object of the present invention to provide an auxiliary beverage that is available to allow overcomingThe proposed contraindications.

This aim and these objects are all achieved by an auxiliary beverage according to the appended claim 1.

In a preferred embodiment thereof, the supporting beverage comprises a water-based mixture comprising 80-85% w/w water, 0.2-0.5% w/w salt, 0.2-0.5% w/w agar (agar agar agar) and/or vegetable pectin and/or starch, 0.3-0.5% w/w Hibiscus sabdariffa tea (Hibiscus sabdariffa tea) and/or herbal tea containing mallow (mallow) and/or oats, 15-20% w/w simple carbohydrate, 0.1-0.3% w/w at least one acidulant.

The salt may include magnesium sulfate and the simple carbohydrate may include apple juice.

For example, the acidulant may be lemon juice.

It is a compound that is comfortable for the patient to swallow, is completely natural in composition, acts as a contrast agent, and is particularly effective for the implementation of diagnostic techniques (e.g., bowel-MRI, etc.).

The dependent claims relate to preferred embodiments of the invention.

Detailed Description

In all the embodiments described hereinafter, the complementary beverage according to the invention generally comprises a mixture of ingredients in suitable combinations, as can be observed in preliminary experimental evaluations, which ensure compatibility with the ingredients of the beverageThe same effect and the same permeability characteristics.

In addition, the beverage has no contraindication, has good taste, and is a completely natural product.

According to one aspect of the invention, the beverage is a water-based beverage and comprises a mixture of four basic components, namely mucilage (mucous), salt, polysaccharides, carbohydrates or monosaccharides.

The mucus has mild purgative effect.

The salt has the function of osmotic laxatives (osmotic purgatives).

Polysaccharides act as stimulators of intestinal peristalsis.

Finally, carbohydrates or sugars are osmotic laxatives (osmotic laxatives).

Surprisingly, the synergistic effect of the four essential components described above enables the patient to obtain a synergistic effect withThe same effect, but without the same contraindications.

Contains polyethylene glycol (macrogol) and sodium and potassium salts as active ingredients, and is thus a laxative (laxative) with osmotic action (acting by retaining water in the intestinal tract).

This effect determines the distension (distraction) of the mesenteric small intestine by imaging methods such as magnetic resonance imaging, which is necessary to assess its wall as a site of any pathology.

Having an action of relaxing the intestinal ringThe above components of (a) are replaced in the auxiliary beverage according to the invention by a combination of natural ingredients.

According to a preferred embodiment of the invention, the ingredients contained in the auxiliary beverage are as follows:

-up to about 80-85% by weight of water;

-agar comprising up to about 0.2-0.5% by weight;

-roselle tea (karkaidee) in an amount of up to about 0.3-0.5% by weight;

-up to about 15-20% by weight of filtered apple juice;

-mannitol (mannitol) in an amount of up to about 0.4-0.8% by weight;

-magnesium sulfate in an amount up to about 0.2-0.5% by weight;

-lemon juice comprising up to about 0.1-0.3% by weight.

Water has a hydrating effect in the mixture.

More specifically, agar is the source of polysaccharides and mucus.

Agar is a gelatinous material that stimulates intestinal motility.

It is a natural gelling agent derived from red algae: in more detail, it is derived from the polysaccharide agarose, which constitutes some supporting structure of the red algae cell wall, known as agarophytes, belonging to the red algae (Rhodophyta) group; this polysaccharide is released by boiling.

Agar consists of mucilage and carrageenan, and helps to convert liquid into gel without the help of sugar; agar is odorless.

Roselle tea (karkade) is a source of mucus, which is a soothing and mild laxative.

Although roselle tea may have an astringent effect due to the presence of tannins, when mucus comes into contact with water it forms a gelatinous mass which mechanically assists excretion, a mild laxative effect.

Magnesium sulfate is the source of the salt.

Ingestion of magnesium sulfate will increase hydration of the bowel and stool, giving it a semi-solid or full liquid consistency, facilitating excretion.

Finally, mannitol and apple juice are simple carbohydrate/sugar sources.

Mannitol belongs to the category of hexahydric polyols.

It is a natural drug used as a mild laxative, especially for children.

When ingested orally, mannitol acts like an osmotic laxative, drawing water into the intestinal lumen and increasing stool volume and softness.

The increase in fecal volume is in turn a powerful stimulus for intestinal peristalsis.

Mannitol (also taken orally) can be used as an alternative sweetener to traditional sucrose.

Its sweetness capacity is equivalent to about 50% of that of cooking sugar, with the advantages of low calories and low cariogenic (acariogenic) and the metabolism is independent of insulin (a feature particularly useful in the case of diabetes); however, its laxative effect limits its application in this respect.

Apple juice also has a sweet taste effect.

The purpose of lemon juice is to improve the taste and organoleptic properties of the beverage.

Furthermore, lemon juice therefore acts as an acidulant in the beverage.

In fact, lemon juice allows a better management of the consistency of the beverage, since in a slightly acidic environment (due to the presence of citric acid in the lemon juice), the agar does not completely gel.

Lemon juice also has preservative effect.

For example, in an embodiment of the invention of particular practical interest, the above ingredients are present in amounts of about:

750g of water;

-3g of agar;

-4g hibiscus tea (hibiscus tea);

-150g of filtered apple juice;

-5g of mannitol;

-3g of magnesium sulfate;

2g of lemon juice.

In another embodiment of the invention, the agar may be replaced with plant pectin or starch (e.g., kudzu, corn, rice, etc.).

In another embodiment of the invention, Roselle tea (karkade) may be replaced with herbal tea or the like containing mallow or oats.

In another embodiment of the present invention, the filtered apple juice may be replaced with filtered pomegranate juice, carrot juice, blueberry juice, or the like.

In another embodiment of the present invention, mannitol may be replaced with mannose (manna sugar), mannitol (mannite), D-mannitol, sorbitol, or xylitol.

In another embodiment of the present invention, magnesium sulfate may be replaced with epsom salt (epsom) or English salt (English salt) or magnesium chloride or magnesium hydroxide, etc.

In another embodiment of the invention, the lemon juice can be replaced by another citrus fruit (lime, orange, etc.) juice or citric acid or malic acid, etc.

From its composition, it can be seen that the beverage according to the invention is an entirely natural product.

It allows to obtain the same performances as traditional contrast agents, but without the contraindications of traditional contrast agents, and with better palatability.

In its preferred embodiment, the final formulation is a slightly sweet (benefited from apple juice and mannitol), refreshing (refreshing) and salivation-quenching (benefited from roselle tea and magnesium sulfate), slightly sour (benefited from lemon juice and roselle tea), pleasant lemon-flavored (benefited from lemon juice) beverage, with a distinct red color provided by roselle tea, slightly higher in consistency, but not gelatinous (benefited from agar), and slightly with a mineral aftertaste (benefited from magnesium sulfate).

The invention also has for its object a method for preparing an auxiliary beverage having the above characteristics.

In one embodiment, the method comprises: a stage of mixing the agar with water and a subsequent stage of boiling the water, ensuring complete dissolution of the agar.

Subsequently, there is a stage of injecting roselle (karkaideo) tea for 5 minutes and a stage of subsequently filtering the resulting mixture.

Subsequently, there are the following stages: apple juice, lemon juice, magnesium sulfate and mannitol were added to the mixture and allowed to cool at room temperature or 4 ℃ prior to use of the product.

Once prepared, the beverage will be stored at 4 ℃ for 48-72 hours.

In another embodiment according to the invention, the preparation process comprises the following stages:

hot-dissolving agar, and/or plant pectin and/or starch;

thermally dissolving Hibiscus sabdariffa (karkadse) tea and/or mallow and/or herba Avenae Fatuae herbal tea with agar;

cold dissolving magnesium sulfate and mannitol or any substitute for both components;

mixing the previously prepared solution according to the geometric dilution principle (i.e. starting from at least the concentrated component);

adding apple juice solution and/or filtered succus Granati, Sucus Dauci Sativae, and fructus Myrtilli juice;

the acidified solution was added.

The preparation process is very simple and can be easily reproduced on an industrial scale.

As mentioned above, the object of the present invention is also to use the aid drink having the above-mentioned characteristics as an oral contrast agent for performing magnetic resonance imaging of the mesenteric small intestine (gut-MRI), or for similar diagnostic techniques.

It can thus be seen how the invention achieves the intended objects.

Beverage constitution according to the inventionFor example, the most common contrast agents used to perform bowel-MRI.

In particular, it allows obtaining the same results for the correct preparation/setting of the above diagnostic techniques, however it does not have the above potential harmful contraindications.

In addition, the beverage has good tasteMuch better and therefore, the patient has no difficulty in taking the beverage.

Furthermore, even ingestion in relatively high amounts does not cause sequelae to the patient, since it is an entirely natural product.

The product preparation is fast and simple, and the cost is relatively low.

The invention has been described in terms of preferred embodiments, but equivalent variations may be employed without departing from the scope of the appended claims.