Gary I. Gorodokin M.D.

201-791-7760

24-07  Broadway

Fair Lawn, NJ 07410

Gastroenterology Consultants of North Jersey

718-743-8668

 2829 Ocean Pkwy

Brooklyn, NY 11235

CAPSULE ENDOSCOPY

With this new technology the patient swallows a video capsule that is about the size of a vitamin capsule. Within this capsule is a camera that takes pictures as it travels through the stomach and small intestine. It takes about two pictures per second as it makes its way through the GI tract. This capsule enables your gastroenterologist to see areas of the small intestine that would otherwise not be visualized by other techniques.

About the Video Capsule Endoscopy Examination

The procedure is painless. The patient must fast for eight hours prior to the test. On the morning of the exam, the patient comes into our office. Video sensors are attached to the patient’s abdomen and the sensors are connected to a data recorder (the recorder is carried by the patient in a small sack attached to the waist). Once the patient swallows the video capsule he or she is free to carry out their normal activities for the next eight hours while the data is recorded. Pictures are taken (two images per second) by the capsule during this time period. The patient returns to our office after eight hours for removal and collection of the sensors and video recorder. At that point, our technician downloads the recordings to a disk. Your physician then reads the disk and interprets its findings.
Video capsule endoscopy is a valuable tool that is used to diagnose a variety of gastrointestinal disorders of the esophagus, stomach, and small intestine. It is often used to find a source of blood loss or anemia in patients in whom a colonoscopy and EGD have been non-diagnostic. Possible findings of video capsule endoscopy include small bowel ulcers, vascular malformations, inflammatory bowel disease, celiac disease, and sm
all bowel cancers.

Important Information about the Capsule Endoscopy and Preparation

Your physician has determined that as part of your medical evaluation you should undergo a examination known as a Capsule Endoscopy. This procedure involves ingesting a small (the size a calcium pill) Given Imaging M2A Capsule which will pass naturally through your digestive system while taking pictures of the intestine. The images are transmitted to the Sensor Array which is placed on your abdomen. The Sensor Array is attached to a walkman-like Given Data Recorder which saves all the images. It is located in the Recorder Belt, which is worn around your waist. After 8 hours, you will return to the office, and the technician will remove the Recorder Belt. Please do not attempt to do this yourself. The M2A Capsule is disposable and will be excreted naturally. In order for your physician to get the most accurate information for this test, please follow the prep.

1. 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 a MRI machine.
2. Capsule Endoscopy's last 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. Since the Data Recorder is actually a small computer, it should be treated with the
    most care. Avoid sudden movement amd banging of the computer.
3. During Capsule Endoscopy, you will need to verify every 15 minutes that the small light on
    top of the Data Recorder is blinking blue, twice per second. If, for some reason it stops call
    the office.
4. After the test is complete, and in a few days you did not positively verify the secretion of the
    M2A Capsule from your body, and you develop unexplained post procedure nausea,
    abdominal pain or vomiting, contact the office for evaluation and possible X-ray
    examination.

The day before your capsule endoscopy

You may have a regular breakfast and lunch.

1. After lunch, start a clear liquid diet. Anything you can see through is considered a clear
    liquid, including broth, jello, ice pops, flavored water, club soda, gatorade, snapple.(any
    flavors are fine as long as it is not red in color). Between 4 and 5 o'clock drink 1 bottle of
    citrate of magnesia (purchased otc at any pharmacy). Drink plenty of liquids after drinking
    the bottle of citrate of magnesia. After 10 pm do not drink or eat anything except for your
    medication's which you can take a sip of water.
2. Do not take any medications 2 hours before the time of the capsule endoscopy.
3. Male patient's should shave their abdomen 6 inches above and below the navel, also the
    chest and groin area.

After ingesting the capsule

• 11am you may have clear liquids.
• 1pm you may have a light lunch.

Time to return to the facility is between 4:15and 4:45PM.

Video Capsule Endoscopy

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Gastroenterology Consultants of North Jersey, PC