Hi Creampuff,

Prof. Dr. Kroesen, Krankenhaus Porz am Rhein, Köln, is apparently well liked - see the comments at http://www.klinikbewertungen.d...-porz-am-rhein-koeln

I am home with a 24/7 tube until I see him in a month.  Feeling so much better knowing help is at hand!

This might also interest SKN69.

Hi Pam, 

I'm so glad for you. Peace of mind is priceless. I have read a good amount on him and will be making an appointment with him and Dr. Ecker myself. I know I'll eventually need a surgery and I want to meet them both to see who I feel most comfortable with.

keep us posted!

My Gastroenterologist met Dr. Kroesen at a conference in Berlin last week and spoke to him about my problems. He can, apparently, replace the valve if necessary and has also had good results wth 'stretching' the narrow spots.  Can't wait to meet him next month!

I saw Prof.Dr. Kroesen yesterday.  It looks as if the valve is no longer inflamed and he inserted a catheter with no problem so I am hoping that things will return to normal for a while.

I really liked this surgeon - personable, helpful, knowledgeable.  He has had several patients with 'older' pouches who have had similar intubation issues - it is apparently not uncommon (and when you think of it - 30+ years of wear and tear)!  Two of his recent patients had their pouches created by Dr. Koch himself. He knows Dr. Cohen as well.  He also said all K-pouchers are desperate to keep the quality of life that the pouch provides.

If/when I have another crisis, Dr. Kroesen will take me immediately for tests to determine the exact problem. Valve replacement may be necessary.  On my way out, the doctor introduced me to a young woman who has just had Koch pouch surgery.