my pouch has a sinus and a leak so they gave me back a temp ileo due to infection in spine. i can stay as is, try to do a pouch redo, or consider a kpouch. I am in Cleveland Clinics back yard so I have doctors available to me pretty close. I guess there are onlt 2 doctors there that do this procedure, Dietz and not sure of the other? Doesnt sound like many doctors are doing them anymore? is this a dying procedure? I need to know more i guess