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Reply to "Obstruction - still not better."

Dr. Bauer was understandably protective of his work. I can't tell if you're still seeing him, Lisa. You do need someone you can turn to if issues crop up. I prefer a gastroenterologist, but others choose to keep seeing their surgeon. As long as the person doing the pouchoscopy understands J-pouch anatomy and J-pouch issues, scopes can reveal a lot of information quite safely. Many doctors and patients advocate periodic scopes to monitor for dysplasia or cancer. This is particularly important for folks with FAP or if dysplasia was found before colectomy. 

 

For various reasons scoping isn't part of the usual bag of tricks in the ER, so I'd be surprised if someone there suggested doing it on the spot. It is the best way to see a pouch stricture, though.

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