The first 3 years after my surgery, I had yearly scopes with my surgeon. I wasn't seeing a GI because there was no need. After getting pouchitis last year, I went to a new GI (pre-surgery I had a pediatric GI). My GI wanted to take a look for himself to see what he was dealing with.

I think as long as the GI has an understanding of a pouch, it is fine for him to do a scope.

As for prep, it was no food after midnight and both my surgery and GI had me do a fleet enema....much to my dismay.

For my first few years after surgery i did use my surgeon for scopes. I live in East TX and he is in Dallas TX. I found a GI Dr here but he does not do surgery. However he is very familiar with the j pouch, is very capable of removing all growths that have came up over the years. He just removed two that we thought were too big to come out through a scope but we went to a different hospital with a special scope and he did it. I am very pleased and if major problems come up I still go to my original surgeon from 1990. It is important that you trust and are comfortable with whom you use. I have used magnesium citrate and with the last scope I was told that prep can damage the lense on scope and only did two enemas the morning before, which I hate because I cant even use a whole one in one use.