Yes. This is the only way it is effective for me. I have a J-Pouch due to Ulcerative Colitis and get pouchitis sometimes. Crushing it allows me to absorb it better with yogurt. It does not work unless I do.

Specific complications following an ileoanal anastomosis include leakage of stool, anal stenosis (narrowing of the anus), pouchitis (inflammation of the ileal pouch), and pouch failure.

No not in it's original form. If after the colectomy you had an ileo-anal pouch (internal pouch) formed then you can develop pouchitis which has similar symptoms to ulcerative colitis but is usually cleared up with antibiotics. Other than that the only other condition which you can experience after is if you was miss diagnosed with ulcerative colitis instead of crohn's disease (but this is fairly rare).

If he has colitis and a bowel tumour, the best option will be to have a total colectomy. A colostomy is managed easily, but you can have the option of having a pouch. Pouch surgery has its own complication like increased frequency of bowel, urgency, inflammation of the pouch called pouchitis and stricture formation requiring dilatation. In reality having a colostomy is better as it causes less problems and recovery is quicker.

There are a number of reasons the J pouch anal anastomosis fails.

I would say the most common fault would be when the patient is in pain from constant pouchitis, an inflamed condition of the pouch which does not abate over a course of time and the pouch owner choses to have the pouch excised and return to an Ileostomy. Other reasons include stricture of the join at the anastomosis which closes off the exit and difficulty in evacuating faeces occurs.

Perforation is another pouch failure condition, the stitched seam can break open due to force or trauma, the bowel contents then enter the peritonium, an emergency laparotomy is necessary to rectify the condition.