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Reply to "J-pouch check ups (UK)?"

There are significant cultural and economic differences in this. Although it is possible to develop cancer in the rectal cuff, it’s uncommon. In the US this translates to regular pouchoscopy, perhaps annually, in many doctors’ practices. In other places the modest cancer risk is treated as less of an issue. Part of this is economic, since performing scopes is quite profitable in the US. 

If dysplasia was found prior to colectomy then the guidance is generally different, and annual scopes are usually recommended more widely, at least in places where that is possible.

The rectal cuff is probably just as prone to cancer (per square cm) as the pre-colectomy colon, but it’s tiny. The cancer risk is statistical, so shrinking the target shrinks the risk.

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