Pouchomarx, my doc is also Dr. Shen..he believes I have a leak, I am having barium X-ray sept 8 then I see Dr. Lavery on Sept 9 who is my original surgeon also at Cleveland Clinic. The pouch revision you are having, will they put a new pouch in? How long have you had current pouch? I have had mine 20 years. I was told when I got it could last 10 years. These responses scare the you know what out of me.