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Pouchoscopy frequency

There have been a number of threads over the years about how frequent our follow up pouchoscopies should be. I had my pouchoscopy last week and heard back from my GI today. She said biopsies showed no evidence of cancer, inflammation or infection and my next follow up scope should be in 3-5 years.

For background history, I was first diagnosed with severe pancolitis at age 15 in 1972. I had my pouch surgery in 1995 at age 40. I have never had dysplasia, but have had chronic pouchitis, now in remission with Inflectra (biosimilar of Remicade) and Imuran.

So, as you can see, there is no “rule” that we all need to be scoped annually. It depends on your specific case. Plus, as more data is gathered over time the surveillance recommendations can evolve over time. As an aside, since I chose not to have sedation, my copay was $10 (but that is the Medicare with Advantage plan).

Jan

Last edited by Jan Dollar
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