You're right; stripping the mucosal layer eliminates the possibility of cuffitis. I had severe rectal disease with very little colon involvement. My cuff was stripped and I have never had an incident of cuffitis in the 8 years with my pouch. I am sure that either Sweetie's father's surgeon either did not know how to strip the cuff or it wasn't perfected back when he had surgery 20 years ago.
dx proctitis in 1987
dx UC in 1991, was stable until 1998
1998 started prednisone, asacol, pentasa, nortriptylene, ativan, 6MP, rowasa enemas and suppositories, hydrocortisone enemas, tried the SCD diet, being a vegetarian, omega 3s, flax, pranic healing, yoga, acupuncture, probiotics
2000 lost all my B-12 stores and became anemic
2001 opted for j-pouch surgery- now living life med-free