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Reply to "Flexible sigmoidoscopy / pouchoscopy"

Sally,

When I am scoped, they scope the pouch and go a little ways up my ileum above the pouch. In my case I have inflammation in my ileum above my J Pouch due to a narrowing of my bowel at the pouch inlet and resulting fecal stasis. I believe it is prudent to inspect the ileum to determine if there is any evidence of inflammation, if inflammation is present in the J Pouch. If inflammation is present in the J Pouch I would say it is arguably malpractice not to peek at the ileum above the pouch, as Crohn's could possibly be indicated in cases of chronic inflammation.
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