Tests & Procedures

At Minnesota Gastroenterology, we know that patients and families want to know as much as possible about the test and/or procedure that is being recommended by a healthcare provider.  Refer to the list below to find the information that is most helpful to you.  If you still have questions, please contact us through our website Quick Links or call (612) 871-1145 to make an office appointment.

A B C E F G H I L M N P S U

Pouchoscopy

Purchase the following supplies at your local pharmacy:

1 - 8.3 ounce bottle of Polyethylene Glycol (PEG) 3350 Powder
(MiraLAX, SmoothLAX, ClearLAX or generic equivalent)

64 oz. Gatorade® (No red colored flavors)
Regular Gatorade®, Gatorade G2®, Powerade®, Powerade Zero® or Pedialyte are acceptable. Red flavors are not allowed; all other colors (yellow, green, orange, purple, blue) are okay. It is also okay to buy two 2.12 oz packets of powdered Gatorade that can be mixed with water to a total volume of 64 oz of liquid.

PREPARATION FOR POUCHOSCOPY
To ensure a successful appointment, please follow all instructions carefully.

Cancel or reschedule your appointment:
If you must cancel or reschedule your appointment, please call 612-871-1145 as soon as possible.

Transportation:
You must arrange for a ride for the day of your procedure with a responsible adult. A taxi ride is not an option unless you are accompanied by a responsible adult. If you fail to arrange transportation with a responsible adult, your procedure will be cancelled and rescheduled.

1 day before:

  • Begin clear liquid diet at noon (Clear liquids include things you can see through).
  • Examples of a clear liquid diet include: Water, black coffee or tea (no milk or non-dairy creamer), clear broth or bouillon, Gatorade, Pedialyte or Powerade, carbonated and non-carbonated soft drinks(Sprite, 7-Up, Gingerale), strained fruit juices without pulp (apple, white grape, white cranberry), Jello-O and popsicles
    • The following are not allowed on a clear liquid diet: Red liquids, alcoholic beverages, dairy products, protein shakes, cream broths, juice with pulp and chewing tobacco.
  • Between 4-6pm: Drink Miralax – Gatorade preparation

Mix 1 bottle of Miralax® with 64 oz. of Gatorade® in a large pitcher.
Drink 1 - 8 oz. glass of the Miralax®/Gatorade® solution.
Continue drinking 1 - 8 oz. glass every 15 minutes thereafter until ostomy output is clear.

Day of your procedure
Morning Medications: You may take all of your morning medications including blood pressure medications, blood thinners (if you have not been instructed to stop these by our office), methadone, anti-seizure medications with sips of water 3 hours prior to your procedure or earlier. Do not take insulin or vitamins prior to your procedure.

Continue the Clear Liquid Diet. Avoid red liquids, alcoholic beverages, dairy products, protein shakes, and chewing tobacco.

  • 3 hours prior:
    • STOP consuming all liquids
    • Do not take anything by mouth during this time.

Bring the following to your procedure:

  • Bring the completed Health History form included in this packet with you the day of your appointment.
  • Insurance Card / Photo ID
  • List of Current Medications including over-the-counter medications and supplements
  • Bring your rescue inhaler if you currently use one to control asthma
  • Bring contact lens supplies as you will be asked to remove contact lenses prior to the start of your procedure
  • Advance Directives: If you have an Advance Directive, please bring a copy of your Advance Directive with you to your endoscopy appointment. Advance Directives are not honored at MNGI facilities, and in the event of a life-threatening situation, life support measures will be instituted in every instance and our patients will be transported to a higher level of care facility (i.e., hospital). In the unlikely event that you require an emergency transfer to a higher level of care facility, your Advance Directive should accompany you to that facility.

What is a Pouchoscopy?
Pouchoscopy is a procedure that allows your physician to examine the lining of your ileo-anal pouch for inflammation, abnormal growths or tissue. An ileo-anal pouch is a surgically created pouch to replace the colon and rectum

What should I expect during the procedure?
Medicine will be given through the IV line to help you relax and feel drowsy. During a pouchoscopy, the doctor inserts a flexible tube called an endoscope into the anus and advances it slowly into the pouch. You may have a feeling of pressure or fullness during the exam. The doctor may take a painless biopsy of the lining of the GI tract for closer examination by a pathologist.

What should I expect after the procedure?
The doctor will speak with you about the initial results of your exam. You may feel bloated after the procedure. Following the exam, you may resume your normal diet unless instructed otherwise by your physician. You will not be able to drive home after your exam due to the sedation.

What are the possible complications associated with Pouchoscopy?
Although serious complications are rare, any medical procedure has the potential for risks. A nurse will review all potential warning signs with you before you leave the endoscopy center. Risks include perforations or tears in the lining of the GI tract, bleeding from the biopsy site and reactions to medications used during the procedure.