The Effect of a Very Low-residual Diet on the Preparation Before Capsule Endoscopy

The aim of the proposed study is to compare prospectively two methods of small bowel preparation prior capsule endoscopy study, the effect on the cleanliness and the quality of visualization after two protocols of preparation: a 12 hour fast only versus 24 hour of a very low residual diet (ENSURE, Abbott Laboratories, Israel) + 12 hour fast.

Inclusion Criteria:

• Consecutive patients who will submitted to capsule endoscopy due to following medical indications:

  • suspected Crohn's disease
  • obscure GI bleeding
  • iron deficiency anemia
  • suspected malabsorption disease
  • unexplained abdominal pain
  • unexplained chronic diarrhea

Exclusion Criteria:

• pregnancy
• patients who had previous surgery on Gastrointestinal tract
• patients with previous intestinal obstruction
• patients who will refuse to participate in the study
• diabetes mellitus
• known celiac disease