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Risk is low, also biopsy is a very small specific test with varying degrees of accuracy on itself.  

Inshort there needs to be concern area to biopsy because the pouch is a relatively massive place (compared to a biopsy sample). We are talking spec of sand on a beach.

Sometimes docs still random test for 'normal mucosa' but people with JPouch aren't necessarily expected to have normal mucosa.  

 

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