Pocheoscopie

What kind of outcome is typical for a pouchoscopy?

A pouchoscopy should allow your doctor to determine if your small bowl pouch is functioning properly and if you have inflammation, or abnormal growths and tissue.

What are the risks of not having a pouchoscopy?

If you have a small bowl pouch, delaying or avoiding a pouchoscopy may put you at risk for undiagnosed cancer or other gastrointestinal conditions.

What are possible side effects and complications of a pouchoscopy?

While rare, some of the possible complications of this procedure may include bleeding from the site where a tissue sample (biopsy) was taken or a polyp or other abnormal tissue was removed, a tear in the colon or rectum wall, or an adverse reaction to the sedative used during the exam.

How safe is a pouchoscopy?

In general, severe complications from pouchoscopies are rare. You should also know that Hancock Regional Hospital has been rated one of the safest hospitals in America by Le groupe Leapfrog, une organisation nationale de surveillance des soins de santé à but non lucratif ; et a été nommé l'hôpital le plus sûr de l'Indiana sur le Index des hôpitaux du Lown Institute.

How do I know a pouchoscopy is right for me?

If you have a small bowl pouch, or J-pouch, getting regular pouchoscopies are often recommended.

Do I have options for anesthesia for my pouchoscopy?

You can choose conscious sedation, which will block pain and relax you, but some people don’t use any anesthesia for a pouchoscopy.

What issue does a pouchoscopy solve?

A pouchoscopy allows your doctor to examine the lining of a small bowel pouch, any inflammation or abnormal growths and tissue.

How is a pouchoscopy done?

During a pouchoscopy, an endoscope is inserted into your anus and then moved slowly into your small bowel pouch. You may have a feeling of pressure or fullness during the procedure and your doctor might take a painless biopsy of the lining of your gastrointestinal tract.

What happens if my symptoms get worse while I wait for my pouchoscopy ?

Your surgical team will evaluate the situation and help you make a choice that’s right for you and your health. Temporary treatments might be used if your pouchoscopy is rescheduled. 

Why might I have to wait to schedule a pouchoscopy?

In some cases, it takes time for a patient’s body to be ready for a pouchoscopy. For example, if you have another medical issue including another surgical procedure or an illness, we might wait to perform your pouchoscopy. Your health and safety are our top priorities, so we schedule surgeries when they’re best for our patients.

L’équipe chirurgicale connaîtra-t-elle mes antécédents médicaux ?

Your health history will be compiled and available to the team before, during, and after your procedure. If you’re a Hancock Health patient, we will be able to access your records within our system. If you aren’t, we will work with your doctors to get the necessary information.

Comment dois-je décider quel conseil du chirurgien suivre ?

Vous devez travailler avec le chirurgien avec lequel vous vous sentez à l'aise, que ce soit l'un de nos chirurgiens ou non.

What should I bring to my first appointment with a surgeon?

• Information sur l'assurance  
• Dossiers médicaux, y compris vos antécédents médicaux, de votre médecin traitant
• A complete list of all medications you take on a regular basis, including any over-the-counter medication

Do I need a referral to see a surgeon for a pouchoscopy?

Your health insurance provider may require you to get a referral from your primary care provider to see a surgeon about a pouchoscopy.

How long does it take the sedation to wear off after my pouchoscopy?

The sedation will begin to wear off in 20 minutes and you will be fully recovered within six hours.

What do I need to bring to the hospital the day of my pouchoscopy?

Anything you’ll need for an overnight stay, including a change of underwear, a sweatshirt, glasses or contacts, headphones, and your medications. You probably will not be there overnight, but it’s a good idea to be prepared.

Pourquoi me demande-t-on mon nom et ma date de naissance chaque fois que je reçois un médicament ?

C'est une mesure de sécurité pour vous assurer que vous recevez les médicaments qui vous sont prescrits.

Pourquoi y a-t-il autant de personnes dans mon équipe chirurgicale ?

En plus du chirurgien, vous avez un anesthésiste, des infirmières (certaines d'entre elles se spécialisent dans le travail avec les patients et d'autres assistent le chirurgien) et du personnel de soutien, qui vous enregistrent et vous sortent, compilent vos dossiers, et bien plus encore. Ils travaillent tous ensemble, effectuant leur travail individuel, afin que la procédure soit aussi réussie que possible. 

Will I need someone to take me home after a pouchoscopy?

For your safety and the safety of other motorists, you willneed someone to drive you home. If you don’t have a ride, we’ll help you arrange one.

What should I expect right before a pouchoscopy?

• You’ll arrive 1-2 hours before your procedure and be escorted to the preoperative waiting area.
• Vous retirerez tous vos vêtements et bijoux et enfilerez une blouse d’hôpital. (Vos objets de valeur seront placés dans un endroit sécurisé ou pourront être remis à un membre de votre famille.) 
• Vous signerez tous les documents nécessaires et une infirmière préopératoire prendra vos signes vitaux, examinera vos médicaments et répondra à toutes vos questions.
• You’ll meet the members of your surgery team. 
• An I.V. (intravenous line) will be placed in your hand or arm, so medications, including a sedative, can be administered. If you’re using a different kind of anesthesia, you’ll receive an injection.
• Au moment de votre intervention chirurgicale, vous serez conduit dans la salle d'opération sur une civière.

Pourquoi ne puis-je pas manger avant la chirurgie ?

For your pouchoscopy, it’s important that your colon is completely clear. There’s also a risk of aspiration, which means you’re breathing foreign objects, like food or saliva, into your lungs. This can occur because the anesthetic for surgery can impair your body’s ability to stop the contents of your stomach from entering your lungs.

How should I prepare for a pouchoscopy?

As a patient, you play a critical role ahead of your pouchoscopy through a process called bowel preparation. There are a few different kinds, which can involve consuming a liquid or using enemas. Your doctor will determine what kind is best for you based on your medical history and their particular preference. Some of these products require a prescription, while others are available over-the-counter. They all have the same goal: to remove everything in your colon prior to the procedure. You may experience some skin irritation around the anus due to the passage of liquid stools. You can prevent and treat this skin irritation by applying ointment to the skin around the anus before drinking the bowel preparation medication.

How long will I be in the hospital after a pouchoscopy?

While the length of a hospital stay depends on each patient’s individual needs, patients are typically discharged within a few hours following the procedure.

How long will I be under for my pouchoscopy?

A pouchoscopy is often done with conscious sedation. You are given a pain reliever and a sedative intravenously, so the pouchoscopy will not hurt. But you will not be unconscious unless your physician decides to use general anesthesia.

How long will the pouchoscopy take?

A pouchoscopy typically lasts from 15 to 30 minutes.

Quand ma famille sera-t-elle informée de comment je vais ?

Nos associés obtiendront des informations de l’équipe chirurgicale en salle d’opération pendant votre chirurgie et les tiendront à jour.

What will happen during a pouchoscopy?

You’ll lie on your side with your knees drawn up towards your chest. You will feel relaxed and drowsy, or fall asleep, due to the sedation.

Will I need to fill any prescriptions or take medication after a pouchoscopy?

Your doctor may prescribe medications to ease cramping, gas pains, or other discomfort associated with the procedure. 

How soon after a pouchoscopy can I eat or drink?

Unless otherwise instructed, you may immediately return to your normal diet.

Vais-je recevoir des analgésiques juste après la chirurgie ?

Dans la plupart des cas, les patients reçoivent des analgésiques immédiatement après la chirurgie.

How soon after a pouchoscopy will I be up and moving around?

You will be up and moving around almost immediately after the procedure, but patients are encouraged to avoid alcohol, driving, and operating machinery for 24 hours after a pouchoscopy.

Quand pourrai-je parler à mon chirurgien après l’opération ?

Vous pourrez parler à votre chirurgien immédiatement après votre intervention, pendant que vous serez dans la salle de réveil.

How will I know if the pouchoscopy worked?

Your surgeon will discuss your procedure with you, and you will likely receive the results of any biopsies in a week or two.

What can I expect right after my pouchoscopy?

After the procedure, you will be moved to a recovery room where you will stay until you’re ready for discharge. The amount of time you are in recovery depends on whether or not you were sedated and what type of pain medication you receive.

What are payment options like for pouchoscopy at Hancock Health?

Hancock Health s'engage à contribuer à rendre des soins de qualité abordables pour tous les patients. Pour en savoir plus sur les options de paiement, veuillez visiter la page FAQ sur la facturation et l’assurance sur HancockRegionalHospital.org.

Will Medicare cover my pouchoscopy?

Medicare parts A and B will cover the cost of a pouchoscopy, but it’s important for your doctor to indicate that the surgery is medically necessary.

Will insurance cover my pouchoscopy?

In most cases, insurance will cover most of the costs associated with a pouchoscopy. To obtain an estimate of your possible out-of-pocket expenses, use our Outil d’estimation de prix.

How much does a pouchoscopy cost?

Consultez le Outil de transparence des prix at HancockRegionalHospital.org for an idea of how much a pouchoscopy might cost.