TABLE 2.

Standard Protocol Variables

CategoryVariableDefinition
Patient preparationMedication withholdingProkinetic agents: metoclopramide, tegaserod (Zelnorm; Alfasigma USA, Inc.), domperidone, erythromycin, and cisapride; opiates; anticholinergic and antispasmodic agents; atropine, nifedipine, progesterone, octreotide, theophylline, benzodiazepine, and phentolamine
Withholding timeTwo days
Blood glucoseTesting of blood glucose level before study to ensure level is <200 mg/dL
Blood glucose recordingRecording of blood glucose level and including it in final report
MealConsensus mealProper preparation of meal with all 4 listed ingredients and no other ingredients (e.g., no butter or juice): 118 mL (4 oz) of liquid egg whites, 120 mL of water, 2 slices of toast, 30 g of jam or jelly
Nothing by mouthNo food or water by mouth for minimum of 4 h
Meal ingestion timeConsumption of meal as quickly as possible and in less than 10 min
Partial mealInstructions in cases of vomiting or if patient ingests only a portion of meal
Radiopharmaceutical dose18.5–37 MBq (0.5–1.0 mCi) of 99mTc sulfur colloid
AcquisitionImage projectionsAcquisition of both anterior and posterior images
Image frequencyAcquisition of images immediately on meal completion and hourly until 4 h
ProcessingGeometric meanCalculation of geometric mean using anterior and posterior projections (geometric mean = √ (anterior counts × posterior counts)
Decay-correctedDecay correction of counts in region of interest
Percentage retentionReporting of final measurements as percentage gastric retention at each time point