I've had the j-pouch since 2003 - and for the most part had consistent functionality for the last 20 years - 7-8 BMs/day, no leakage, no urgency issues, very slight bleeding on rare occasions (typically when i strain).
I consider myself very lucky - especially after seeing some of the complications/challenges i've seen posted on this forum. I recently had my pouchoscopy done with biopsies taken. The doctor is on vacation until next week, so he won't be able to translate the results until then. But in the meantime i was wondering if anyone on here is able to decipher my results below? Obviously negative for dysplasia is a good thing but was unsure specifically if i should be worried about the "inflamed thick smooth muscle bundle" part? In the pathology notes it was mentioned my doctor was specifically notified of this result, which caught my attention. I tired googling with not much luck. Thanks in advance!
Biopsy 1 (Rectum) - Severely active chronic proctitis with ulcer. Negative for dysplasia.
Biopsy 2 (J-pouch) - Granulation tissue/ulcer with underlying inflamed thick smooth muscle bundle. Acute inflammatory exudates. No epithelium present. Negative for CMV by immunohistochemical staining.