Ischemic pouchitis is inflammation caused by a reduced blood supply to part of the pouch. It has a characteristic appearance (to experienced eyes).
VSL at a high dose helps me even when I’m on antibiotics. I take the VSL with breakfast and dinner, and the antibiotics at bedtime. Spacing them well apart reportedly helps. I take 4 DS packets per day, which costs a lot. My insurance now covers it, after a year-long battle.