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I have a second JPouch for five years now and continue to present issues (chrons) and a pelvic floor dysfunction, the doctor is recommending JPouch removal.  I have read post here about pouch removal but I continue to seek the answer to the following question:  

* Does permanent ileostomy and complete pouch removal reduces the change of Chrons or UC issues?
For those of you that post …… Thanks so much, it is wonderful to have your comments and read what each of you have experienced

Patricia

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Pouch removal does eliminate some problems permanently, in particular issues with the rectal cuff, pouchitis, and inflammation/strictures related to backwash stool. Some folks here have reported that their fistulas haven’t recurred after pouch excision, but there are no guarantees, since fistulizing Crohn’s doesn’t need a J-pouch to behave badly. However you choose to proceed I hope things get better for you!

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