Is it common to be diagnosed with Crohn's two decades after J-Pouch surgery? The last year or so I've had an odd pattern of what felt like constipation -which turns out were actually small bowel obstructions. I suppose the good news is that my Pouch "looks great!" according to the GI team. I'm currently on a very familiar Prednisone taper then long term options will be discussed. A few questions. Will my Pouch be at risk with Crohn's at the terminal Ileum near the top of the pouch? What drug options will I have to consider after Prednisone?