Just to reiterate, you can opt for a 1-step but it's never a guarantee. A surgeon can't know for sure whether a 1-step is feasible until s/he's actually playing around inside you.quote:When I was considering the jpouch I was going to do the one step route.
I think there are a number of reasons more 1-steps aren't performed with j-pouch surgery. One is that it takes more specialized training. Another is that the formation of a j-pouch is more complicated than the surgery for a continent ostomy. More small intestine is used sometimes with tall people things don't reach as far as they need to. Sometimes the reach just isn't possible so a j-pouch isn't possible. But sometimes a multi-step procedure can 'stretch' the small intestine to fit the new plumbing. (I think I'm explaining all this correctly.... )
kathy