CTBarrister posted:The only real cancer concern with the J Pouch is the rectal cuff, which is the one piece of colonic tissue retained with the J Pouch surgery. If you have had either cancer, dysplasia (as I did), or chronic inflammation, you will be scoped annually and the rectal cuff will be biopsied annually. It’s that simple. Although I had dysplasia in my colon when it was removed in 1992, I have had 27 annual scopes and biopsies since then, and they have all been negative for anything other than inflammation.
As far as J Pouch cancers in the J Pouch itself and not the retained rectal cuff, ileal cancers are extremely rare. The Cleveland Clinic did a study on J Pouch cancers around 10 years ago. My then J Pouch specialist was made privy to the results of that study, and what he told me was that virtually all the cases of J Pouch cancers were precipitated by severe uncontrolled or untreated pouchitis, with the cancer usually starting or originating in the rectal cuff.
You seem to know so much... want to come out to Texas to tackle this with me? Lol. Are you still taking Remicade after your J pouch surgery?