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A pouchoscopy is an outpatient procedure used to examine the lining of your ileo-anal pouch for any inflammation, abnormal growths or tissue. Your colon must be completely empty to ensure an accurate view of your colon and rectum. Your doctor may instruct you to take a laxative the night before the exam or an enema a few hours before the test or the night before.
A surgical alternative to ileostomy is the ileal pouch-anal anastomosis, or ileoanal anastomosis. This procedure, used more frequently than permanent ileostomy in the treatment of ulcerative colitis, is similar to a continent ileostomy in that an ileal pouch is formed. The pouch, however, is not attached to a stoma but to the anal canal. This procedure allows the patient to retain fecal continence.