@Pouchomarx posted:yeah but if you have pouchitis a few times a year , scopes sometimes take a while to have done or a lot just cannot afford the cost of them. A pouchoscopy done at Cleveland clinic under sedation would cost be about $2000 after insurance.. I have high deductibles, which are $3500.00 individual or $6900.00 family, so I would rather do a course of antibiotics first that cost me about $5.00 . If it doesn't help then I would look into getting a scope.
Totally agree. Once pouchitis has been confirmed with scopes and the patient has an accompanying set of symptoms, abx without a scope makes sense. I think Shen’s point was symptomatology is often unreliable as other pathology can cause the same symptoms as pouchitis so in the newly diagnosed or in those who stop responding to their typical 2-3 courses of abx per year, then it’s time to scope/re-scope and possibly do other testing. High deductible plans are tough. My brother’s is 5k for individual and 10k for his fam. It’s too much. Our healthcare system is broken.