@CTBarrister posted:I have discussed it with all my gastroenterologists because the inflammatory pattern I have is consistent with backsplash stool. I have had GI docs that worked with a lot of J Pouch patients. My first GI doc was in NYC and was favored as the go to GI pouch specialist of the surgical group I used in Manhattan. The second was mentored at Cleveland Clinic by the world famous J Pouch specialist Bo Shen, and was himself a pouch specialist. He actually discussed my case with Dr. Shen. The current GI doc has also had many pouch patients besides myself. These doctors all understood the mechanics of the J Pouch and the basic anatomical difference underlying this issue. What I have come away with is that while most of the persistent inflammation is consistent with backsplash stool, there are some scattered ulcerations in the ileum a little higher than what they would expect and therefore I have a technical, although uncertain, Crohn's diagnosis. For reasons I have already stated elsewhere, the actual diagnosis doesn't matter. And in the reports they are calling it ileitis.
We need those doctors everywhere lol. I took the Prometheus blood test almost 10 years ago when I had my colon and it came back UC. I never got tested again though after that time. I never knew the Promethues blood test results can change over time. I wonder if the results would change now that the colon and rectum are out.