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.