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Reply to "Second j-pouch"

Jules, people certainly get 2nd pouches, sometimes called a pouch re-do. Since your pouch failure is mechanical a surgical fix has a good chance of working well, as long as the surgeon is skilled. If you don’t have access to a surgeon with the right skill and experience then an end-ileostomy is a better long-term option than a loop ileostomy. Even more important than the pouch being left in or not is the better functioning of an end ileostomy over a loop ileostomy.

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