Pouchoscopy/biopsy results

In my non medical expertise opinion I think you are ok. I also have yearly scopes with similar results.

i too have chronic UC of the cuff. Because I had high grade dysplasia in the rectum, I still take one Canasa suppository daily, to keep the cuffitis in check and prevent a reoccurrence.

I also have a slight narrowing of the anastomosis, which the GI dilates  with his finger, and tells me it’s clinically insignificant.

The important question is how do you feel?

Pouchitis, Cuffitis, SIBO and Irritable Pouch can make you feel miserable. I have had the  last three above from time to time.

The GI after each scope tells me everything looks good, so I try not to live in the terrifying future.

if you are feeling ok, I would think you are doing well.

I was told by my doctor that microscopic inflammation is the norm and treatment is based on what things look like through the endoscope and clinical assessment.  In other words, some inflammation in the biopsy is to be expected and  if I don't have symptoms, probably nothing to worry about.  

I don't have a cuff, though.  Your report looked good but mentions chronic active disease in the cuff.  I always understood that it was important to treat active colitis (back when I had a colon.)  So perhaps that's a worthwhile topic to discuss with your doctor, if "chronic actively inflamed colitis" is what's showing.  The canasa/ mesalamine suppositories are the standard treatment for cuffitis.  

SOME ULCERS IN POUCH ARE OK AND NORMAL ESPECIALLY AT THE SUTURE LINES. also in a pouch, the biopsies will always show some inflammation, very normal. They usually only prescribe antibiotics if you are having symptoms..