Topic Explanation:

The discussion revolves around experiences with pouchoscopy, a medical procedure to examine the ileal pouch. The original poster shares their past experience where no fasting or enemas were required, and the procedure was relatively quick and manageable. They mention a new GI team suggesting a different prep involving sedation, fasting, and enemas, but they were allowed to skip fasting and use enemas instead. The poster is seeking insights from others on their experiences with the procedure and whether the full prep is necessary.

Advice and Insights:

1. Sedation Preferences:
- Some individuals have undergone pouchoscopy with twilight sedation and no other prep, finding it straightforward and manageable.
- Others have had the procedure without sedation, experiencing only minor discomfort, especially if the pouch is not inflamed.

2. Procedure Setting:
- Pouchoscopies can be done in-office with a rigid scope or in a hospital with a flexible scope. The choice of setting may influence the decision on sedation.

3. Personal Comfort:
- Some prefer sedation in a hospital setting for personal comfort and to reduce anxiety, even if the procedure can be done without it.

4. Patient Rights:
- Patients have the right to decline sedation, but it is important to consider the physician's comfort and willingness to perform the procedure under those conditions.

5. Outcome and Frequency:
- Successful pouchoscopies without sedation have been reported, with some patients able to watch the procedure and not requiring another for a couple of years.