Pouchoscopy

Pouchoscopy is a medical procedure that involves the examination of the ileal pouch (an artificial rectum surgically created out of ileum for patients undergoing colectomy), ileo-anal pouch, and ileo-rectal pouch. This procedure is performed using a flexible tube called a pouchoscope.

Indications

Pouchoscopy is indicated in patients who have undergone colectomy and have an ileal pouch. It is used to evaluate the pouch for inflammation, ulcers, pouchitis, cuffitis, and to rule out dysplasia or cancer. It is also used to evaluate the cause of pouch dysfunction, such as increased frequency, urgency, incontinence, bleeding, or abdominal pain.

Procedure

The procedure is performed using a flexible tube called a pouchoscope, which is inserted through the anus and advanced into the pouch. The pouchoscope has a light and a camera that allows the doctor to visualize the inside of the pouch. The patient is usually sedated during the procedure.

Risks

Like any procedure, pouchoscopy has potential risks. These include bleeding, infection, perforation of the pouch, and reaction to sedation. However, these risks are relatively low.

See also

• Colectomy
• Ileal pouch-anal anastomosis
• Pouchitis
• Cuffitis

References

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