Any ostomates here who have had j-ouch removed and replaced with perm ileo? I need your help. My friend (and fellow j-poucher) is in dire straits. I'm interested in knowing what went wrong? How long did you have the j-pouch? Was the ostomy your only option vs. having the pouch re-constructed? Were you scared in the beginning? Are you happier now? How long have you had the ostomy? Do you have any tidbits of wisdom that I can offer to my friend? Right now he is very scared and depressed. He had MAJOR probs with his temp ostomy after pouch surgery 2 years ago. He now has some type of infection (not intestinal) that the (military) docs say can only be resolved by pouch removal.