What is a pouchoscopy?

pouchoscopy-photo.jpgA pouchoscopy is an outpatient procedure used to examine the lining of your ileo-anal pouch for any inflammation, abnormal growths or tissue.

How do I prepare for a pouchoscopy?

Your colon must be completely empty to ensure an accurate view of your colon and rectum. Your doctor may instruct you to take a laxative the night before the exam or an enema a few hours before the test or the night before. Typically, you will have to follow a special diet consisting of clear liquids the day before the exam. Furthermore, you may not be able to eat or drink anything after midnight. Please inform your doctor of any major illnesses or allergies you have, and any medications you are taking.

What happens during a pouchoscopy?

You’ll begin the exam lying on your side; typically with your knees drawn toward your chest. Your doctor will carefully insert a thin, flexible tube, known as a sigmoidoscope, into your rectum. The sigmoidoscope features a fiber-optic light and a channel through which your doctor can pump air into the colon, which will provide a better view of the lining. There is a tiny video camera on the tip of the sigmoidoscope. If necessary your doctor can obtain a biopsy of abnormal tissue.

What happens after a pouchoscopy?

Your doctor will provide the results of the exam and instructions in writing. You may experience a bloating sensation and mild cramping, which should subside within a few hours.

Are there any possible complications?

When performed by one of our board certified gastroenterologists, a pouchoscopy is generally safe. Complications, which are rare, include bleeding or perforation of the bowel. If you notice any problems, please contact our office.