Experiences with Pouchoscopy Prep and Procedure

Hi. I was curious about the experiences others have had with pouchoscopy. My prior surgeon didn't have me fast or use enemas. While it can be uncomfortable, it wasn't the worst thing I ever had done. The exam took maybe 15 minutes and taught me to self-dilate multiple times a week to avoid closing up. It works great!

I have a new GI team and it's scheduled. For prep, they talked about sedation, fasting, and enemas. When I explained how it was done in the past, they were okay with me not fasting but to use the enemas the night before and the day of. They also said they could just use light sedation if it became too uncomfortable.

What about others - what is your experience with the stump and pouch exam? Maybe I'm making it too simple and should just do the whole nine yards prep even though they told me I don't need to.

Hi C

My experience is twilight sedation and nothing else, no enema, no fast, nothing. Sleep, wake up, go home.

I'd go elsewhere if I were you.

Thanks Axl. This is actually a new GI/surgeon office - one of the best in the area. I've never had to be sedated for this before; I was just curious why it seemed so extreme here. They were okay with no sedation, only light if I think I need it. Sure, it's a little uncomfortable, but if it's like I've experienced before, it's some discomfort but done in 10 to 15 minutes, and I get to go home.

I've had pouchoscopies done with no sedation, with a rigid scope in-office as well as in a hospital procedure space with a flexible scope. It was quick, more like 5 minutes. The pain was manageable, although if the pouch was badly inflamed, it hurt more.

Keep in mind that, as with any medical procedure or prescription, etc., you have the right to decline sedation. However, I suppose the physician might also refuse to scope you if they are uncomfortable with your decision.

Thanks for the responses. I hate to be knocked out if I don't have to be. I appreciate you all!

Words of Encouragement from Ostomy Advocates I Hollister

I have had numerous pouch scopes. In the doctor's office without sedation… no problem. In the hospital setting, I opt for sedation just for my own comfort. I hate anyone fooling around with my pouch, even my surgeon! So sedation keeps me calm and lessens the fear.

Pouch exam went great - no sedation and all good. The first time I actually got to watch the procedure being done. I won't need one for 2 years.

Glad to hear it!