Your doctor has determined that as part of your medical evaluation you should undergo a test known as Capsule Endoscopy. This procedure involves ingesting capsule the size of a large vitamin pill. The capsule will pass naturally through your digestive system while taking pictures of the intestine. The images are transmitted to a sensor array, which is placed on your abdomen. These sensors are attached to a small computer (the DataRecorder) that is worn around your waist and which will save the images. After 8 hours the small computer will be taken off and the images will be transferred to another computer for analysis. The capsule is disposable and will be excreted naturally in your bowel movement.
The capsule does not dissolve: so in the rare case that it is not be excreted naturally, it will have to be removed endoscopically or surgically.
The Day before Capsule Endoscopy:
- After lunch on the day before the Capsule Endoscopy examination, start the clear liquid diet(with no red color). From 7 p.m. the evening before Capsule Endoscopy drinks one bottle of Magnesium Citrate (available at any pharmacy without a prescription). Do not eat or drink except for necessary medication with a sip of water.
- Do not take any medication beginning 2 hours before undergoing Capsule Endoscopy.
- Abstain from smoking 24 hours prior to undergoing Capsule Endoscopy.
- Male patients should shave their abdomen 6 inches (15 centimeters) above and below the navel on the day of the examination. If it is difficult for you to shave your abdomen, please contact your physician's office to arrange to have this done in advance.
Day of Capsule Endoscopy:
- Arrive at our office at the prescribed time for your Capsule Endoscopy dressed in loose-fitting, two-piece clothing.
- At your physician's office, you will have a pre-procedure interview. During this interview, you should be informed that Capsule Endoscopy is associated with a small chance of intestinal obstruction. You will be checked-in and asked to give your informed consent.
- The SensorArray will be applied to your abdomen with adhesive pads and will be connected to the DataRecorder which you will wear a belt around your waist. After that, you will be instructed to ingest the M2A Capsule
After Ingesting the M2A® Capsule:
- After ingesting the M2A Capsule, do not eat or drink for at least 2 hours. After 4 hours you may have a light snack. After the examination is completed, you may return to your normal diet. The above instructions related to eating apply unless your physician specifies otherwise. Contact your physician immediately if you suffer from any abdominal pain, nausea or vomiting during Capsule Endoscopy.
- After ingesting the M2A Capsule and until it is excreted, you should not be near any source of powerful electromagnetic fields such as one created near an MRI device or amateur (ham) radio.
- Occasionally, some images may be lost due to radio interference (e.g. from an amateur radio transmitter, MRI, etc.). On rare occasions, this may result in the need to repeat the Capsule Endoscopy examination. In this case, the physician will advise you to stay within the premises of the clinic during the Capsule Endoscopy to prevent this problem from recurring.
- Capsule Endoscopy lasts approximately 8 hours and is considered complete according to your physician's instructions. Do not disconnect the equipment or remove the belt at any time during this period. Since the DataRecorder is actually a small computer, it should be treated with utmost care and protection. Avoid sudden movement and banging of the DataRecorder.
- During Capsule Endoscopy, you will need to verify every 15 minutes that the small light on top of the DataRecorder is blinking twice per second. If, for some reason, it stops blinking at this rate, record the time and contact your physician. You should also record the time and nature of any event such as eating, drinking, your activity and unusual sensations. Return the Event Form with these notes to your physician at the time you return the equipment.
- Avoid any strenuous physical activity especially if it involves sweating and do not bend over or stoop during Capsule Endoscopy
After Completing Capsule Endoscopy:
- You will be instructed by your physician on how to return the equipment at the end of Capsule Endoscopy. If you were instructed to remove the equipment by yourself, do the following: (a) Disconnect the SensorArray from the DataRecorder; (b) Take off the RecorderBelt (with the DataRecorder and Battery Pack); (c) Disconnect the Battery Pack from the DataRecorder (d) Place DataRecorder and Battery Pack in a safe place. To remove the SensorArray from your abdomen, do not pull the leads of the SensorArray! Peel off each adhesive sleeve starting with the non-adhesive tab without removing the sensor from the adhesive sleeve. Place the SensorArray with the rest of the equipment.
- The DataRecorder stores the images of your examination. Handle the DataRecorder, RecorderBelt, SensorArray and Battery Pack carefully. Do not expose them to shock, vibration or direct sunlight, which may result in loss of information. Return all of the equipment to your physician's office as soon as possible.
- If you did not positively verify the excretion of the M2A Capsule from your body, and you develop unexplained post procedure nausea, abdominal pain or vomiting, contact your physician for evaluation and possible abdominal X-ray examination.
- Undergoing an MRI while the capsule is inside your body may result in serious damage to your intestinal tract or abdominal cavity. If you did not positively verify the excretion of the M2A ® Capsule from your body, you should contact your physician for evaluation and possible abdominal X-ray before undergoing an MRI examination.