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Reply to "J pouch and cancer"

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.

Last edited by CTBarrister
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