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Reply to "Cuffitis diagnosis"

I’ve read about pouch advancement - fortunately for me my experience is vicarious. It involves (more or less) detaching the pouch from the (troublesome) rectal cuff, removing the rectal cuff, and hand-stitching the pouch to the anal canal. It’s often accompanied by a mucosectomy, which is scraping off the inflammation-prone mucosa. This is a technically difficult procedure to perform well, so if at all possible it’s best to find a way to obtain the services of a surgeon with plenty of experience doing these.

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