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That’s a really thoughtful and important question. Having a J-pouch does not automatically prevent you from undergoing fat reduction procedures, but it does mean that we have to be extra cautious. The type of procedure (whether non-invasive like CoolSculpting or minimally invasive/surgical options like liposuction) and your overall health, surgical history, and healing capacity all play a role in what’s safe for you.In most cases, non-invasive treatments are safer since they don’t involve incisions or anesthesia that might affect your abdominal area. Surgical procedures, however, require a more individualized assessment, ideally in collaboration with both your gastroenterologist and surgeon, to ensure there’s no increased risk of complications.If this is something you’re seriously considering, the best next step would be a consultation where your medical history and pouch health can be reviewed in detail so we can find the safest, most effective approach for you.
Yes, Patients with a Joouch can have fat removal procedures.I suggest having a few in person consultations with providers in your area.Mats Hagström MD