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Reply to "Question about 2nd surgery"

Hi Daniel, I agree with others that your surgeon usually determines how many stages you'll need to complete the J-Pouch procedure, as well as your health at time of first surgery. Also a factor is how long you've been off Prednisone. My surgeon does 2 and 3, and I thought I was healthy enough but due to prednisone, which make your tissues inside easy to tear/harder to work with so he decided a 3 step would be more successful. When I had blockages near the loop Ileostomy after #2 surgery, he had me tested to see if pouch was viable, and only 3 weeks out it was healed and considered "viable" but he still felt more comfortable waiting to 2 months, which is the earliest he's ever done takedown. I trusted his decision cause he's done so many if these, which is why I chose him as my surgeon. I know people on this site have had 1 and 2 step but there are so many variables that it's gonna be based in your surgeon and you. I truly understand your desire to have 2 step- I was also disappointed when woke up after first surgery to find out it would be 3- and I am in a different life stage than you. I do wish you the best, and hope you get this behind you and heal quickly! Laurie
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