TE Marie posted:I didn't need any extra small intestine for my j-pouch creation nor did I have ulcerated and removed small intestine either. My j-pouch problems were mainly at the base although I had chronic pouchitis. I also requested that the perm stoma location be lower in my abdomen than up by the waist line. My perm is a little lower in my abdomen than my temp ileo was and on the other side. I'm not sure were I've read about this at but believe it is the case for other's that have needed to have their j-pouches removed. It's a good question for people to ask their surgeons.
I wasn't questioning or contradicting the procedures you've endured.
After all, I'm just a patient and my limited knowledge of procedures has only been learnt from forums such as this or my own experience,
I would of thought that when the J pouch is removed a stoma can protrode from a point close to the old stoma site and if positioned on the opposite side of the abdomen, then maybe what remains of the small intestine is not long enough to reach the old site,
Before my J pouch, it was often mentioned that my stoma for the loop ileostomy would be higher up, which would result in watery stools.
On hearing this, I imagined the worse and thought I would have two stomas, until my surgeon explained that I'll still only have the one stoma site but with two openings, although it would be " higher up" within the digestive tract as whats below is formed in the J pouch.