So I finally gave up on my local GI doc and went to see the guru master Bo Shen. After a painful pouchoscopy without sedation today the diagnosis is afferent limb syndrome, which means agulation at the pouch inlet with afferent limb prolapsed into it.
Looks like the options are resection of angulated bowel, pexy of pouch to the sidewall, or pouch mobilization and bowel fixation.
Has anyone had this same issue and undergone any of these procedures? Should I expect a temp illeo will be needed?
I'm in shock.
Looks like the options are resection of angulated bowel, pexy of pouch to the sidewall, or pouch mobilization and bowel fixation.
Has anyone had this same issue and undergone any of these procedures? Should I expect a temp illeo will be needed?
I'm in shock.