ポーチスコープ検査
A pouchoscopy is an endoscopic examination of a small bowel pouch, also known as a J-pouch, that has been created to serve as a stool reservoir for people whose large bowel has been removed. It’s usually a simple procedure, performed with an endoscope—a slim, flexible tube with a camera that provides a close-up view of the inside of the pouch. During the procedure, the endoscope is passed through the anus into the pouch to allow the pouch lining to be seen.
としても知られている
ポーチスコープ検査
麻酔
None or Conscious Sedation
入院
外来
一般的な回復時間
24 Hours or Less
手術について
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 リープフロッグ・グループ、全国的な非営利医療監視組織。そして、インディアナ州で最も安全な病院に選ばれました。 ローン研究所病院のインデックス。
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.
外科医の選択
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.
外科チームは私の病歴を知っていますか?
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.
どの外科医のアドバイスに従うべきかをどのように決定すればよいですか?
私たちの外科医であろうとなかろうと、あなたが安心できる外科医と一緒に仕事をする必要があります。
What should I bring to my first appointment with a surgeon?
- 保険のご案内
- かかりつけ医からの病歴を含む医療記録
- 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.
手術前
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.
薬をもらうたびに名前と生年月日を聞かれるのはなぜですか?
自分に処方された薬を確実に服用するための安全対策です。
私の手術チームにはなぜこれほど多くの人がいるのですか?
外科医に加えて、麻酔科医、看護師(患者の対応を専門とする看護師もいれば、外科医を補助する看護師もいます)、そして診察や診察記録の作成などを行うサポートスタッフがいます。彼ら全員が協力してそれぞれの仕事を実行するため、手順は可能な限り成功します。
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.
- 衣服や装飾品をすべて脱いで、病衣を着ます。 (貴重品は安全な場所に保管するか、ご家族に預けさせていただく場合がございます。)
- 必要な書類に署名すると、術前看護師がバイタルサインを測定し、薬を確認し、質問に答えます。
- 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.
- 手術の時間になると、担架に乗って手術室へ運ばれます。
手術前に食事をしてはいけないのはなぜですか?
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.
手術中
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.
私の様子について家族はいつ連絡されますか?
私たちのスタッフは、手術中に手術室の手術チームから情報を入手し、常に最新の情報を提供します。
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.
手術後
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.
手術直後に鎮痛剤は投与されますか?
ほとんどの場合、患者は手術直後に鎮痛剤を受け取ります。
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.
手術後、いつ主治医と話せますか?
手術直後、回復室にいる間、外科医と話すことができます。
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.
保険と費用
What are payment options like for pouchoscopy at Hancock Health?
Hancock Health は、すべての患者が手頃な価格で優れた治療を受けられるよう支援することに尽力しています。お支払いオプションの詳細については、こちらをご覧ください。 HancockRegionalHospital.org の請求と保険に関する FAQ ページ。
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 価格見積りツール。
How much does a pouchoscopy cost?
に相談してください。 価格透明性ツール at HancockRegionalHospital.org for an idea of how much a pouchoscopy might cost.
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