Ileoscopy

What to expect

This procedure is for people who have an ileostomy, which is an opening in the abdomen where the small intestine is brought to the surface of the skin.

During an ileoscopy, a flexible tube with a camera, called a scope, is gently inserted through your stoma (a surgically created opening on your abdomen) into your ileum. The scope is lubricated before insertion to help it move easily. It then blows a small amount of air into the intestine. This expands the tissue folds, making it easier to see all parts of the ileum’s lining.

An ileoscopy can help diagnose conditions that affect the small intestine, including:

• Crohn’s disease
• Inflammation or ulcers
• Bleeding
• Abnormal tissue growth

This air may cause a feeling of fullness in your abdomen or gas-like discomfort, but it should not be painful. You may also feel pressure on the skin where the scope enters, but this also should not cause any pain.

An ileoscopy may also include taking a small tissue sample, called a biopsy, for further examination. The procedure usually takes three to 10 minutes, and most people find it painless.

In many cases, an ileoscopy can be done without sedation. If you find the procedure uncomfortable, please tell your care team.

What to bring

• Health (OHIP) card or valid health-care coverage
• Someone to help you get home if you receive sedation

You may also wish to bring an extra set of ileostomy supplies (skin appliance, pouch and any accessories) in case your appliance needs to be changed, becomes dirty or is removed so your care team can check the skin underneath.

How to access our services

You need a referral from a health-care provider to be seen in Endoscopy. See our referral criteria for more information.