儲袋鏡檢查
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.
也稱為
儲袋鏡檢查
麻醉
None or Conscious Sedation
住院
門診
典型恢復時間
24 Hours or Less
關於手術
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 蛙跳集團,一個全國性非營利醫療保健監督組織;並被評為印第安納州最安全的醫院 勞恩研究所醫院指數。
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.
選擇外科醫生
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.
手術團隊會知道我的健康史嗎?
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.
我該如何決定遵循哪位外科醫師的建議?
您應該與您感覺舒服的外科醫生一起工作,無論他是否是我們的外科醫生之一。
What should I bring to my first appointment with a surgeon?
- 保險資訊
- 來自您的初級保健醫生的醫療記錄,包括您的病史
- 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.
為什麼每次取藥時都會詢問我的姓名和出生日期?
這是一項安全預防措施,可確保您收到為您開立的藥物。
為什麼我的手術團隊裡有這麼多人?
除了外科醫生之外,您還有麻醉師、護士(其中一些專門負責與患者合作,其他人協助外科醫生)以及支援人員,他們負責為您辦理入住和退房手續、編制您的記錄等。他們一起工作,完成各自的工作,因此整個過程盡可能成功。
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.
- 您將脫掉所有衣服和珠寶,並穿上病號服。 (您的貴重物品將被放置在安全區域或可能交給家庭成員。)
- 您將簽署所有必要的文件,術前護理師將測量您的生命徵象、檢查您的藥物並回答任何問題。
- 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.
- 當您進行手術時,您將被擔架推入手術室。
手術前為什麼不能吃東西?
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.
手術期間
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.
我的家人甚麼時候會知道我的狀況?
在您手術期間,我們的同事將從手術室的手術團隊中獲取資訊並及時更新。
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.
手術後我會立即接受止痛藥嗎?
在大多數情況下,患者在手術後立即接受止痛藥。
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.
手術後我什麼時候可以和我的外科醫生交談?
手術後,當您在復健室時,您可以立即與您的外科醫生交談。
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.
保險及費用
What are payment options like for pouchoscopy at Hancock Health?
Hancock Health 致力於幫助所有患者提供負擔得起的優質護理。要了解有關付款方式的更多信息,請訪問 HancockRegionalHospital.org 上的計費和保險常見問題解答頁面。
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 價格估算工具。
How much does a pouchoscopy cost?
諮詢 價格透明度工具 at HancockRegionalHospital.org for an idea of how much a pouchoscopy might cost.
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