I can’t tell if you’re asking about office visits or pouchoscopies. Lots of folks do get an annual pouchoscopy, usually by a gastroenterologist (but sometimes by their original surgeon). There’s a very small risk of colon cancer in the rectal cuff, but the risk is higher if the original colectomy was done for dysplasia or cancer. I do see my gastroenterologist annually, but that’s mostly because he also does my primary care. I only have pouchoscopies occasionally, if there’s a question the procedure might help answer.