Update - they thought it was a blockage went in laproscopically and found out it wasn't. They basically said no scar tissue and not twist. They suspect that his "modality" before the pouch isn't working correctly and is hold food. There is no surgical fix and are going to experiment with chewing better and a pill to take if he feels like things are "stucK' before vomiting and diarrhea. Has anyone ever heard of this? Any suggestions on foods or things to do to keep things moving?