TABLE 3.

Standard Protocol Guidelines for Patient Preparation, Meal, and Radiolabeling of Meal

CategoryVariableDefinition
Patient preparationWithheld medicationsProkinetic agents: metoclopramide, tegaserod (Zelnorm; Alfasigma USA), domperidone, erythromycin, and cisapride; opiates; anticholinergic and antispasmodic agents; atropine, nifedipine, progesterone, octreotide, theophylline, benzodiazepine, and phentolamine
Withholding time2 d
Blood glucose testingMeasurement of level before GES and inclusion in final report
MealConsensus meal*118 mL (4 oz) of liquid egg whites, 120 mL of water, 2 slices of toast, 30 g of jam or jelly
Meal ingestion time<10 min
Radiolabeling of mealRadiopharmaceutical99mTc-SC
Radiopharmaceutical dose18.5–37 MBq (0.5–1.0 mCi)
Radiolabeling methodMixing of 99mTc-SC with liquid egg whites before cooking
  • * All 4 listed ingredients and no other ingredients (e.g., no butter or juice).