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Reply to "not sure if I should go ahead with takedown"

If you were to have your J pouch removed and your bottom sewn shut, you would not be able to have another J pouch at a later date.  A manometry test would tell if your anal sphincter muscles were strong enough to support having a J pouch.  I opted to continue with a J pouch for 30 years even though I experienced 12 BM’s a day and some leakage.  You could always go to an end ileo or a continent ileostomy if the J pouch did not produce acceptable results.  The two continent options that do not require having an external bag are the K pouch and the BCIR.  There is plenty of information about these options on the internet.

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