Reply to "Crohns or diversion colitis"

Scott FMember

The doc has you on the right path. If it’s diversion pouchitis then the best treatment is takedown. If it seems to be IBD-caused inflammation, then getting that controlled with medication before takedown will give you a better result. The biopsies aren’t perfect at telling these two different conditions apart, but they give you better information than you would have otherwise.

I had a fair risk of Crohn’s before surgery, and it’s never been ruled out. Pouch failure is more common in Crohn’s than UC, but I’ve been pleased with my J-pouch for about 17 years.

8/17/192:40 PM

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