Michael, the thought that came to my mind was that I would get back to your surgeon. I say that because I have never found a GI Doc that was nearly as comfortable with my J Pouch as my surgeon is. I have tried my long term GI Doc (did one pouch scope but was uncomfortable to be my doc for that) and a new highly recommended GI doc who did no better. So I am not much help but my bias is strongly toward the surgeon for non-routine j pouch issues.
Happy New Years and I wish you the very best. Todd S.