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Reply to "Pouchitis?"

In working though the differential diagnosis another consideration in addition to cuffitis and pouchitis is mucosal prolapse. It can occur at different parts of the pouch and can interfere with evacuation, causing more frequency, incomplete emptying, painful evacuation, spasm, etc.  It is said to be more common in tall, thin people without much abdominal wall fat.  Diagnosed with barium defecogram and can be treated by specialists with endoscopic procedures.

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