I had a total colectomy with 'W' pouch in 2016. After about a year I had sharp pain on my right side and I couldn't pass anything. I threw up after about three hours of pain and went to the ER. I had adhesions. They didn't know until a contrast scan was performed and then rushed me to surgery. The surgeon that was there told me that my pouch was almost dead when they got in there due to being flipped over itself and the blood supply was cut off. I am wondering if this happens more with people that have larger pouches, i.e. S pouch and W pouch.
My surgeon said that once you have adhesions the likelihood of getting them again is almost a foregone conclusion. I am going to keep my fingers and toes crossed that he is wrong!