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SBO - First One

I am 53 and had my J pouch since 1996. This week I have been experiencing painful cramping from what I now believe is an SBO. Going in for endoscopy and ileoscopy today. I'm a bit worried since this is the first issue I have had in 20 years. Reading these boards about strictures and adhesions... well that hasn't sounded real encouraging. 

Is this going to be my routine from now on? Can I expect more difficulty as I go forward? How do I avoid more SBOs in the future?

I'm new to this - having an issue with my J Pouch/small bowel. Any advice or insight is helpful. 

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