This is what my Gastro sent me. I am so pissed he is soo casual about it.
1. it took him 2+ years of my constant nagging of pain and bloating to finally get CT scan.
2. and then he forgets to add rectal contrast, which means I need to get the same scan again!
I feel we are just a number to these doctors, and not real human. Working on getting a new gastro if possible!
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I looked the CT over with a 2nd radiologist. I don't believe that this is a closed loop blockage.
I do believe it's an important finding - likely related to your symptoms. The most likely explanation is that the tip of the J pouch (the efferent limb) is narrowed and the portion above has become progressively dilated. Debris and bacteria can build up leading to symptoms like yours.
I'd favor a follow up CT with a different sort of contrast given both orally and rectally right before the exam. This will clarify the situation. If I'm correct, I'll refer you over to discuss with Dr. Shelton about whether a revision of the pouch (removal of the dilated portion) would be helpful.
In the (highly unlikely) situation that you develop severe abdominal pain, fever, etc., go to the ER. However, I don't believe the original interpretation is correct & this is unlikely to happen.