I've had my pouch since the end of August 2009 and frankly have for the most part been pretty happy with it. I've always eaten what I want of course recognizing that sometimes there's a price to be paid. I've had minor cuffitis but have so far been able to get it under control before it got out of hand. ( I find 2-4 Pepto Bismol tablets for a couple of days seems to work).
It is my understanding that about 90 % of people have little problem with their pouches which gives most of us hope.
Best of luck!