Notes on Small Bowel Capsule Endoscopy

Ⅰ. Precautions for small bowel capsule endoscopy:

1. If you take iron, it is recommended to stop 3-5 days before the examination.

2. Stop taking ACEI (such as enalapril, captopril, etc.)/ARB (such as valsartan, telmisartan, irbesartan, etc.) on the day of oral laxatives and 72 hours after that.

3. It is recommended to stop taking diuretics (such as spironolactone, furosemide, hydrochlorothiazide, etc.) for 1 day or there is a risk of pulmonary edema after stopping the drug. It is recommended to use it under the guidance of a doctor.

4. When taking NSAIDs (such as indomethacin, ibuprofen, diclofenac, celecoxib, etc.), it is recommended to stop taking oral laxatives on the day and within 72 hours after that, and continue to use low-dose aspirin.

5. If you have diabetes, you need to adjust the dose of insulin or oral hypoglycemic drugs under the guidance of a physician before small bowel capsule endoscopy.

6. Other long-term drugs are recommended to be taken 2-4 hours in advance.

7. Please wear loose clothing and avoid wearing one-pieces (such as one-piece skirts).

8. On the day of the examination, bring the appointment slip to the reception desk of the outpatient endoscopy center to report.

Ⅱ. Dietary requirements and medication for small bowel capsule endoscopy:

1. Dietary requirements

① Do not eat crude fiber and indigestible vegetables (celery, leeks, kelp, fungus, etc.), fruits and vegetables with seeds (dragon fruit, kiwi, watermelon, cantaloupe, etc.) 24 hours before the inspection, and foods that are not suitable for peeling (tomatoes). , jujube, etc.);

② Eat a clear liquid diet for 10-12 hours before the examination (milk, soy milk, coffee, and cola are not recommended).

2. Medication requirements

(1) For routine patients, please prescribe three boxes of Shutaiqing (Compound Polyethylene Glycol Electrolyte Powder IV), each box contains 12 large (agent A) + 12 small (agent B), three boxes totaling 36 large (agent A) + 36 Small (agent B).

(2) Medication method:

① The night before the inspection 8:00-8:20; 6 large + 6 small medicinal powders are mixed into a 750ml measuring cup with warm water.

② The night before the examination at 8:30-8:50; 6 large and 6 small powders are mixed into a 750ml measuring cup with warm water; at 9:10 in the evening, please take another 2000-3000ml of water. During taking, rub your stomach and move.

③ 5:00-5:20 am on the day of inspection; 6 large + 6 small medicinal powders are mixed into a 750ml measuring cup with warm water.

④ 5:30-5:50 am on the day of inspection; 6 large + 6 small medicinal powders are mixed into a 750ml measuring cup with warm water.

⑤ 6:00-6:20 am on the day of inspection; 6 large + 6 small medicinal powders are mixed into a 750ml measuring cup with warm water.

⑥ 6:30-6:50 in the morning of the inspection day; 6 large + 6 small powders are mixed into a 750ml measuring cup with warm water; at 7:10 in the morning, please take another 2000-3000ml of water. During the taking, rub your stomach and exercise.