A pouchoscopy is a minimally invasive endoscopic procedure used to examine a continent pouch such as the BCIR. A fiber optic camera on a flexible tube is passed through your flush stoma into the reservoir. A pouchoscopy is a diagnostic tool and often times suggested to confirm a diagnosis of pouchitis and/or slipped valve. Your local GI team should be able to scope your pouch, even if they are not familiar with the BCIR. Some helpful tips are below.

  1. Please make contact with a Gastroenterologist in your home area.
  2. We want them to scope your pouch in about 6 months post op. to get familiar with and see what a healthy pouch looks like. You may need them to scope your pouch if you are having issues with your pouch in the future.
  3. Preparation for a pouchoscopy can be lighter than for a colonoscopy.
  4. You do not necessarily need sedation for the test in fact it may be beneficial if you are awake and able to direct your G. I. Doctor during the pouchoscopy.
  5. The size scope or tube to be used is a Pediatric Gastroscope or Upper Endoscope, 27 Fr.
  6. The Doctor will slide in the scope and will need to suction out any retained fluid. There will be air inflated into the pouch which enables them to see and look around.
  7. Please have them take pictures of the inside of the pouch as well as retroflex the scope to get pictures of the valve.
  8. They will deflate and then remove the scope.
  9. You may need to Intubate to remove the gas as well.
February 6, 2017 by Ernest Rehnke, M.D.
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