If you have an ileostomy, can you have a sigmoidoscopy done?

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Regular Member

Date Joined Nov 2007
Total Posts : 281
   Posted 11/28/2009 2:52 PM (GMT -6)   
If you have an ileostomy, can you have a sigmoidoscopy done?  I have an appointment at Cleveland Clinic on Monday, and a message was left for me that I should prep for this.  Is this right?

Veteran Member

Date Joined Feb 2006
Total Posts : 5698
   Posted 11/28/2009 3:42 PM (GMT -6)   

If you still have a rectum you could have a partial sigmoidoscopy.



dx proctitis in 1987
dx UC in 1991, was stable until 1998

1998 started prednisone, asacol, pentasa, nortriptylene, ativan, 6MP, rowasa enemas and suppositories, hydrocortisone enemas, tried the SCD diet, being a vegetarian, omega 3s, flax, pranic healing, yoga, acupuncture, probiotics

2000 lost all my B-12 stores and became anemic

2001 opted for j-pouch surgery- now living life med-free

Regular Member

Date Joined Nov 2007
Total Posts : 281
   Posted 11/28/2009 3:57 PM (GMT -6)   
Thanks, Sue.  I've been worried about whether this was possible or not and dr's offices were closed yesterday.

Veteran Member

Date Joined Feb 2003
Total Posts : 1251
   Posted 11/28/2009 11:33 PM (GMT -6)   
There should be no prep needed with an ileostomy - just clear fluids 24 hours before the procedure will clear you out. Prep can severely dehydrate those of us without a colon.
Ileostomy for 33 years due to UC

Moderator of the Ostomy and Psoriasis Forums


I'm not a complete idiot - some parts of me are missing!

Regular Member

Date Joined Oct 2009
Total Posts : 32
   Posted 12/1/2009 10:43 AM (GMT -6)   
My daughter had a flexible sig done last week and she only has a rectal stump. The only prep was clear fluids, ice sherbert, jello (no red and purple dye ones though) and broth. She was allowed the jello and broth until midnight and then the clear fluids up until 9:45 am.
Mom to 5 special children
 14yr old- GAD, PTSD, ODD, LD
 12 yr old- Crohn's Disease-total Colectomy Feb 09, PTSD, Dystymia, JRA, Asthma
 11 yr old- Globally Developmentally Delayed, Low Cognitive Functioning, PTSD
 10 yr old(almost)- Epilepsy, Unspecified Social/Emotional Disorder, PTSD, LD
 32mth old-Bright and Happy

Regular Member

Date Joined Nov 2007
Total Posts : 281
   Posted 12/2/2009 2:42 PM (GMT -6)   
Thanks everyone for your replies.  You all were right and the appointment scheduler goofed.  I did not need any enemas. 
I saw Dr. Wexner on Monday and he felt my abdomen and said that my small intestines were still in a knotted mass and need time to heal.
I am supposed to do 4 tests and see him again in March.  The imagery tests are:
  • fistulagram through tube
  • gastrograffin enema
  • upper gi small bowel follow through and
  • ct scan abdomen and pelvis with oral & iv & rectal contrast.

Depending on my rate of healing, I may be able to have surgery for my ileostomy in June (1 year from previous surgery), if ever.

I was very discouraged, because I was under the impression that I may be ready for surgery.  Every 2 weeks my sutures have been coming out and I've had to have them resutured to my abdomen and the tube.  It's very uncomfortable and I've been taking pain pills to withstand the pain.  It's going to be very difficult to wait through another 6 months of this.


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