I only saw one post about this from 5+ years ago so I'm hoping there might be some more experiences since then. I've had my j-pouch for UC for eight years now and it's been great... had pouchitis once or twice but otherwise I've been very lucky. My acne, on the other hand, has gotten worse and worse and with the stress of the past year it's worse than ever. I'm ready to take the plunge and take Accutane, but I'm a little scared because of the alleged relationship between Accutane causing UC flares. Have you taken Accutane while you had a j-pouch? Noticed any GI side effects?