I did not have adhesions. I have been with Dr. Shen for many years. I started with him at Cleveland and followed him to NYC. I am. In NY State about 4 hours north of the City. It was about 6 hours to Cleveland so it was a plus. My pouch surgeon was David Halleran in Syracuse. He was not able to get my issues at the time under control. He encouraged and assisted me in getting an appt. with Shen. After my first scope by Shen, he complimented Halleran for the good job building my pouch. I have much faith in all the doctors imentioned.