A 55-year-old man with a 20-year history of medically refractive ulcerative pancolitis and primary sclerosing cholangitis undergoes a 2-stage total proctocolectomy with ileal pouch–anal anastomosis. He underwent a mucosectomy and hand-sewn anastomosis. The final pathology report reveals multifocal low-grade dysplasia. When would you perform pouchoscopy?
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