RD-
Others can describe their experiences with pouch removal or bypass, and I pointed out elsewhere that "simple" adhesion surgery might be worth trying. I'm concerned that your paracetamol dose sounds dangerously high to me, if you're really taking up to 8 grams per day. Please discuss with your doctor, and please don't drink *any* alcohol while on such doses. A failing liver is much worse than a failing J-pouch.