Question about the period in between j-pouch formation and take down.

If you've had a 2-step j-pouch, this question is pertaining to the time between the first and second step. If you had a 3-step, it pertains to the time between the second and third steps.

So my j-pouch has been formed and I have a loop ileostomy that reroutes everything before reaching the j-pouch. My question is, since stool is rerouted kind of high up in the digestive tract, is it going through enough ileum? I know that B-12 is absorbed only in the ileum, and I've been feeling pretty unenergetic lately, and I wonder if I'm using enough ileum right now to get proper B-12 absorption. I have to think, though, that my doctor would have anticipated this being a problem if it were.

Thanks guys! I know I'm probably overthinking everything. :\

i agree with bluglass, but its true that your body will absorb less vitamins in general (and less B12 specifically) so that could effect your energy level. I highly recommend taking liquid vitamins - they are much easier for your body to absorb and after a few weeks will helpf you feel more energized. I look forward to taking them once I get out of the hospital!
Good luck and keep us posted.
~ jeannemarie

With a loop ileostomy B12 will not be being absorbed as it is absorbed in the terminal ileum. However unless you have had a loop ileostomy for 2-3 years this will not be a problem. The liver stores a number of years supply of B12 and will simply use that until it runs out. You are much more likely to be suffering a lack of electrolytes i.e. sodium and potassium because of extra fluid loss.

Peter

Most jpouchers do not have B-12 issues and do not have a compromised ileum.  However, checking your B-12 levels should be done annually by your GP whenever you get blood work taken.  Ask to have that looked at if your GP overlooks it.

Sue