On the day of your VCE of the large bowel

Video capsule endoscopy of the large bowel

Quick schedule

  • 4am Do not have any liquids after 4am on the day of your VCE
  • 6am Take the second sachet of MOVIPREP at 6am

Please follow these instructions before your appointment.

  • Do not drink after 4am.
  • Essential medicines can be taken with water only before 6am.
  • Non-essential medicines can wait until you have a snack at lunchtime.
  • If you have diabetes, please check if you can take your morning medications with the nurse.
  • You must not eat (including gum, sweets and mints) but can have small sips of water up to 3 hours before your appointment.
  • Do not smoke until after your endoscopy. If you think this might be difficult for you, please speak to your GP or nurse for advice.

6am Take the second sachet of MOVIPREP 

  1. Empty the second sachet of A and B MOVIPREP into 1 litre of water.
  2. Stir the solution until the MOVIPREP has dissolved.
  3. Drink the solution over 1 to 2 hours.

At your appointment

Please be on time. If you are running late please call the reception desk in case the appointment has to be rescheduled.

Please wear a loose top that buttons up or zips up at the front.

We will place a sensor belt or sensor array and recorder pouch on you.

We will give you the video capsule to swallow with water.

The video capsule real time viewer will be used to check the pictures and to make sure the capsule is recording well before sending you home.

After swallowing the VCE

Please follow these instructions carefully. 

The recorder will alert you. There are 5 alerts. Pease follow these instructions depending on which alert you get.

Alert Action
0
  • Take a 1mg prucalopride tablet. This medicine helps to empty your bowel.
  • Do not eat or drink anything until you get the next alert.
1
  • Drink the first booster laxative (30ml sodium phosphate mixed with water, and 50ml of Gastrografin).
  • Drink 1 litre of water, and wait for the next alert.
2

3 hours later you might get another alert. If you do get this alert:

  • Drink the second booster laxative (15ml sodium phosphate mixed with water, and 50ml Gastrografin)
  • Drink about 500ml of water over the next hour to stay hydrated.
3

2 hours later, you might get another alert. If you do get this alert:

  • Put a 10mg bisacodyl suppository into your bottom and let it dissolve. This is a laxative that causes bowel movements.
4

2 hours later, you might get another alert. If you do get this alert:

  • Eat a light meal (for example, a small sandwich or small baked potato with filling).
  • Drink lots of clear fluids while you wait for the final ‘end of procedure’ alert.
End of procedure alert

When you get this alert, the VCE is complete. This alert can happen any time after Alert 1.

  • Remove the equipment. Sit down on a sofa or bed to do this, so nothing drops to the floor.
  • If you are using the sensor array, gently peel the non-adhesive tabs.
  • Do not pull the wires or remove the sensors from the sleeves.
  • Return the equipment to the endoscopy unit at St. Thomas Hospital the next day.

 

After your VCE

Your consultant will send a capsule review report and summary letter to you and your GP. This can take up to 4 weeks.

If you do not pass the capsule

If you have not passed the capsule within 7 days, speak to your local pharmacist. You can take a one-off dose of a laxative, such as senna tablets.

If you have not passed the capsule, please tell the gastroenterology doctor who will arrange for you to have an abdominal X-ray to check the location of the capsule.

You must not have an MRI examination until you have passed the capsule.

Contact your hospital team if:

  • you have tummy pain that is getting worse
  • your tummy is swelling
  • you are being sick

Contacting us about your results

For information about the capsule consultant report review, summary letter and gastro review outcome.

Phone 020 7188 8887 ext 40407 or 40704 or email [email protected]

For surgical review outcome, phone 020 7188 8887 ext 86475

Resource number: 5264 /VER3
Date published: March 2023
Review date: March 2026

Contact us

To book, change or cancel your appointment

Phone: 020 7188 8887 extension 40407 or 40704

Email: [email protected]

Capsule preparation and procedure

Phone the endoscopy unit at St Thomas' Hospital, Monday to Friday, 9am to 5pm

Capsule nurse: 020 7188 7188 ext 56257
Endoscopy nurse in charge: 020 7188 7188, ext 54059
Reception desk: 020 7188 7188 ext 54046

Out of hours

Between 6pm and 8am or on weekends, and in an emergency, call 020 7188 7188 and ask for the on-call gastroenterology registrar.

Do you have any comments or concerns about your care?

Contact our Patient Advice and Liaison Service (PALS)

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