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J pouch with Crohns Colitis?

Hi Everyone,

  First time posting on this forum but need your advice, not sure if anyone else had this particular scenario, so here it goes.  I've had Indeterminate Colitis (Crohns Colitis vs. Pancolitis for 18 years, ANCA positive but anti-saccharomyces negative).  I have recently been diagnosed with dysplasia and have to have my colon removed. 

I would elect to do the J pouch but as of last year, I developed a small peri-anal fistula that has reoccurred 3 times within 18 months (each time went away with oral antibiotics).  I've actually been in remission for 4 years and my quality of life is great right now, so either way....life is going to change after the surgery.

My surgeon thinks we should try the jpouch but some of the GI doctors say its risky.  Has anyone gone through a similar situation and how has life been for you? 

Thank You All! 

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