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Reply to "Chronic pouchitis for 16 years"

Backsplash stool is due to there being no backsplash valve in the J Pouch as there is in the colon. That means whenever you apply muscular pressure to the J Pouch so as to have a bowel movement stool goes in 2 different directions- out through the rectum and up into the ileum. The colon had a valve to prevent this action. The J Pouch does not. Hence ileitis above the pouch is common for someone who has had the Pouch for a long time. My ileitis above the J Pouch inlet was first seen 15 years after I got the J Pouch. It's essentially an inflammation due to excessive bacterial traffic in that area. 

Last edited by CTBarrister
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