Bowel Transit Times
Conditions
Keywords
capsule endoscopy, chewing gum, small bowel transit time
Brief summary
The purpose of this study is to see if chewing sugarless chewing gum alters the time it takes for a capsule endoscopy to travel through the stomach and small bowel, and to see if more/less capsule endoscopes reach the large bowel.
Detailed description
The subjects will include patients already referred to us for a capsule endoscopy (CE) in this unit. We have calculated how many patients we need from small bowel transit times from the last 100 patients who had a CE at our centre. We will include 122. These will be randomly divided into two groups. The patients (chew chewing gum) and the controls (do not chew chewing gum).
Interventions
Patients will be randomly divided into 2 groups, one subject group (these chew gum) and one control group (these do not chew gum). The subjects will have to chew Trident sugarless chewing gum for 20-30 minutes every 2 hours, all together 4 times at t=0 h, t=2, t=4 and t=6 h.
The control group will not chew chewing gum while undergoing capsule endoscopy
Sponsors
Study design
Eligibility
Inclusion criteria
* All out-patients \> 19 years old presenting for capsule endoscopy
Exclusion criteria
* Patients on narcotics * Patients on motility enhancing and/or slowing drugs should stop these at least 5 days prior to the procedure or be excluded from the study. * Patients, who have proven or suspected obstruction of the bowel. * Patients, who have had prior small bowel and/or gastric surgery. * Patients with an ileostomy. * Patients who have a known and/or have a history of swallowing disorder * Patients with diabetes and/or hypo-/hyper- thyroidism * Patients in whom the capsule become impacted at a stricture (these patients will be taken out of the study and given the necessary medical/surgical treatment).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Small bowel transit time | 6 hours |
Secondary
| Measure | Time frame |
|---|---|
| Gastric transit time, cecal completion rate | 6 hours |
Countries
Canada