This is in the small intestine rather than the pouch - it’s about a foot away from the exit. Ideally your scope will extend far enough into the ileum to get a good look - technically that’s then an ileoscopy rather than a pouchoscopy. I don’t know if you normally get sedation for a scope, but I recommend you at least discuss it with your GI, in case it changes anything (e.g. whether you would need a ride home from the procedure). He might tell you he can get there without sedation, and that’s fine, too, but it’s best to be prepared. You might also need a bit more prep than a simple pouchoscopy, since you can’t rinse out the small bowel with a tap water enema. I hope it goes smoothly and gets you some answers.