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Many surgeons won’t be willing to do pouch surgery on someone with Crohn’s Disease. I was turned down by two surgeons based on a very uncertain diagnosis in my case. OTOH some surgeons are more adventuresome, and standards vary from country to country as well. I found a well-regarded surgeon willing to operate on me, but in fairness he convinced himself that I had UC rather than Crohn’s. The outcomes are worse for folks with Crohn’s DIsease, and a failed pouch is no picnic, but if the disease seems to confine itself to the colon for long enough to seem “stable” then some surgeons will judge it to be a reasonable risk.

Some surgeons would say yes, but I would definitely not reccomend it at all! Crohns attacks the small intestine and other things and the pouches can become greatly affected. I have heard of some people living peaceful with a J-pouch with Crohns but its not worth the risk.

If you need/want surgery get a ileostomy. I know it can be depressing to have a bag, I would know; but look at it as a second chance of life, a chance to have your life back. 

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