So one common complication of J-pouch surgery is stricture. This is what happens when there is a narrowing in the intestine cAused by inflammation or scarring.
In J-pouch surgery, strictures can theoretically occur at one of 3 spots.
1) Pouch-anal connection: this is the most common place for stricture to happen and can usually be dialated by one of several techniques.
2) Pouch-(neo)ileo connection: this is at the top of the pouch and is a location that can also stricture.
3) Ileostomy takedown site: So when the ileostomy is closed they staple the intestine closed. This is a length-wise closure and has small risk of stricture.
My wife just had a pouch redo surgery and they incidentally found a stricture at the old takedown site. Our surgeon who operates on J-pouches more than anyone in the country (2-3 times per week) said that this was only the second time she had ever seen this.
Any thoughts?? Here's to hoping no more complications.
Cheers,
Dan
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