This topic is about two main concerns faced by someone with an ileostomy: the possibility of having a scope procedure through a stoma and the challenge of removing stubborn adhesive from the skin. Here’s some helpful advice and insights shared by others who have been in similar situations:

1. Scope Procedures Through a Stoma:
- Many people have had scopes like ileoscopies or colonoscopies through their stoma. These are usually performed by a gastroenterologist, but sometimes a colorectal or general surgeon might do it.
- The procedure uses the same instruments as regular lower-GI scopes, often opting for a pediatric or flexible scope.
- It’s typically done as an outpatient procedure with light or general sedation, though some have had it done awake with a child-size scope.
- During the procedure, you lie on your back instead of the usual left side. The time and recovery are similar to a standard colonoscopy.
- It’s not considered a major surgical procedure, and scheduling can be arranged through either a GI specialist or a surgeon, depending on your case and insurance.

2. Removing Adhesive and Paste:
- WAi spray-on remover can help the pouch slide off and clean any leftover adhesive.
- Hollister Remover Wipes are often used with Hollister Adapt barrier rings or paste.
- Eakin Cohesive Seals or rings can be warmed with a blow-dryer for a better seal. To remove, cool them briefly with a blow-dryer or shower, and they can be rolled off the skin or wiped with a washcloth, often without needing a chemical remover.
- Adapt Barrier Rings can be used instead of paste for easier removal with Hollister wipes.
- Skipping liquid skin preps or adhesive removers can extend wear time and reduce skin breakdown when using warmed Eakin rings.
- For handling paste, apply it to the wafer opening, smooth it with a moist wipe, and let it dry first to reduce mess.
- Using less paste and extending wear to 5-7 days can minimize cleanup.
- Avoid using harsh solvents like kerosene, as they can be damaging.

3. Brands and Products to Try:
- Consider trying products from brands like Dansac, Nova, Hollister, ConvaTec, Omnigon, Coloplast, Pelican, and Eakin. Free samples are often available.

4. General Coping Insights:
- Scopes through a stoma are routine and can provide valuable diagnostic information.
- Repeated blockages and weight loss should be evaluated promptly, and both GI specialists and surgeons can help coordinate further imaging or intervention.
- Many people have successfully navigated similar procedures and product issues, and changing products or techniques often brings significant relief.