A morning scope is certainly easier. I don’t think an enema the evening before is likely to have any value at all. If I were doing it I might do the enemas something like 30-60 minutes apart, with the second one just before I left the house. A J-pouch is tiny compared with a colon, so there’s no value to the bulk evening cleansing that’s needed for a colonoscopy. The enema cleans out a pouch pretty well, and then new stuff will enter from the small bowel not long afterwards. That small amount can be rinsed off using the scope, but over time the amount increases and can get in the way.

Thanks scott

the dr does endoscopic resections rinsing takes away from the drs time id rather know I’m adequately cleaned and might do more than two tsp water enemas

im Not 100 percent sure I’ll be cleaned thoroughly so might resort to miralax and two enemas

len

Miralax is overkill in my opinion. I've had regular & interventional pouchoscopies. Was instructed to have a clear diet the day before and to use a tap water enema before leaving for my appointments, some of which were in the afternoon. You'll never be able to get the pouch perfectly clean, as it starts accumulating waste/mucus immediately. My doctors always said my prep was fine.

My last pouchoscopy required 2 fleet enemas.  One was 2 hours prior to the procedure and the last one an hour prior.  I had to leave the house more than an hour prior so I did it just before I left.  Surgeon said everything was great and had a good view.

hi jaypea

thanks for your response. i will consider following your advice and use it as a guideline. i can do my 1st enema at 11am, my pick up/transportation to deliver me to hospital on pouchoscopy day is 12;15pm.  i'll administer the 1st one slightly earlier so i dont feel the urge to expell while riding 15 minutes in the car to the hospital

ive never dealt with or had experience with afternoon scopes in my 22 years of j-pouching

a but nervous. former gi had me do miralax everytime. i recently mastered administering myself the warm tap water enemas

miralax is a bit overkill but i want to make sure my  cuff and higher upstream is clear of stool. i have a 2-3 cm rectal cuff as i was stapeled and not hand sewn. ive had times the morning of pouchoscopy residual effluent expelling in the toilet so i want to be sure because the dr will be resecting alot and he doesnt have time to waste by rinsing effluent while using either emr, esd or ablation/burning technique to deal with my polyps.

im waiting on gi docs nurse to get back to me because the idea of a 2nd part of day scope worries me. im used to eating and snacking and hear i wobt be eating till 5pm the day of the scopes which is my dinner time. its a 2-3 hour gig for me each time the pouchoscopy so for a 2pm start time 1pm arrival tp hospital i can espect to be there till 4 o clock -430.

i need to get this over with. im a frequent flyer/get scopes frequently but i need to cause fap is not uc.

i will take your advice into consideration, thank you!

len