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Events

RLG monthly J Pouch forums on zoom

RLG monthly J Pouch forums on zoom

A quote from a first time attendee “…Thank you – I did enjoy the session.
I’d forgotten that in certain circles I am perfectly normal!“.

Updated 10 July 2025

The latest monthly pouch forum took place on 7 July 2025 via the magic of zoom with 16 participants dialling in from the luxury of their own homes for an evening of relaxed and supportive pouch-related banter.  Once again, we had an international attendance with at least three people calling in from the USA, a couple from Europe and even one from Wales! 

These meetings are informal with no set agenda, no minutes and no recordings.  Participants speak freely about their pouch issues and pouch experiences, which often includes “lavatorial comment” (as my Dad used to call it), but all “in the best possible taste” (to quote the 80s UK comedian Kenny Everett!).  

There were new people for whom this was their first meeting, all the way up to regulars who attend most – if not all – of these monthly zooms.  In terms of pouch experience – we had the full range, from recent pouches and those who were thinking about getting a pouch all the way up to 40-year pouches.  So plenty of opportunity for sharing experiences, mentoring the newbies and providing lots of support from this fantastic group.  

Topics discussed included but were not limited to:

  • Likelihood of adhesions and/or strictures causing blockages 
  • Horse riding with a pouch
  • Long distance cycling with a pouch
  • The St Mark’s pouch/fistula annual update
  • J-pouches for FAP and differences from pouches formed because of UC
  • Diet and pouches 
  • How to avoid leakages
  • Difference between leakage and seepage
  • Any complications of long term living with the rectal stump (prior to pouch formation)
  • Air travel with a pouch 
  • Air travel with pouch and stoma paraphernalia
  • What is a fistula?
  • Safety of living with an inflamed rectal cuff

As usual the conversations went on beyond the 90 minutes, but almost all the attendees stayed on the call to the end, reflecting the relevance for them of the topics being discussed.  

This was another belter of a meeting with lots of good humour and highly supportive chat, with a range of pouch experience and with a wide range of pouch-related topics.  Thank you to all who took the time to dial in and to Gary as always for setting the call up and managing the registrations.  This is such a good forum for people to learn what pouch life is really like.  

The next pouch forum takes place on Monday 4 August starting at 7.30pm.  Hope to see you there.

Best wishes

David Davies
Red Lion Group Chairman

Check out the events page on our website using the button below for details of upcoming events and to register.

EVENTS

Published 13 January 2025
The first RLG pouchsupport zoom forum of the year took place on Tuesday 7th January with a group of pouchees dialling in from the comfort of their own homes and confounding the artic weather.  The big benefit of the zoom forums is that you don’t have to travel to have an informative, supportive and relaxing pouch chat with fellow pouchees.   You can make a cup of tea before, during and after or indeed crack open a tinny or a bottle of Pinot if the mood takes you (other wines are available!) 

The RLG zoom forum series has been running for more than 4 years, since July 2020 when the RLG Committee set these forums up to maintain contact and communication amongst pouchees during the first Covid lockdown. The sessions are moderated by myself David Davies and Gary Bronziet – two RLG stalwarts.  They make sure everyone who wants to speak gets a chance to contribute, they make sure wherever possible that all topics are discussed and they check that any new attendees are aware of the few practicalities.  There are no minutes or recordings, so “what goes on in the zoom stays in the zoom”  and this reassures people to disclose freely in the group.  An important principle when the topics include pooh, medications and bowels (or lack of them) that would probably get an 18 rating at the cinema.  The January meeting covered a wide range of topics, usually supported with all-important personal experiences and perspectives which help us to know we are not alone.  Topics included :-

  • Blockages (causes, symptoms, treatments and the need to go to hospital),
  • Comparisons with life with a stoma
  • New stoma technology
  • Pouchitis (treatments)
  • Probiotics VSL#3 and Vivomixx (with the revelation that one attendee still gets VSL#3 on prescription!)
  • Haemorroids (occurrence, causes and treatments in pouchees),
  • Use of the Aquaflush system and comparison with a catheter alone
  • Use of Fibogel and Metamucil thickeners,
  • Gastrograpin
  • Bimuno prebiotic
  • Anusol, Germolene and Ostique stoma bags…..

In addition we talked about availability of pouch nurse specialist expertise and resourcing updates from St Marks hospital.   There is no pre-set agenda, and topics to be discussed are agreed on the night.
It sounds pretty dry stuff, but humour is an important component, whether it is personal recollections of pouch disasters, confusion about best how to use a catheter on a moving train, offering used medina catheters to other pouchees (well washed apparently), how to hide a catheter on your person when attending a wedding or how to describe your operation to a blind date.  This is a terrific group for some pouch-related humour!

Such is the vibrancy of the discussion – these meetings usually overrun. So it was that the meeting ended a few minutes past 9pm, but with almost everyone able to stay to the end.  

This series has been running for over 4 years now; in fact the 5th anniversary will be July 2025.   It is a friendly and welcoming forum for pouchees and potential pouchees to enjoy a supportive and informal chat about pouch stuff.  Thank you to everyone who dialled in and joined in with the discussions on 7th January.  

The next RLG zoom forum will take place on Wednesday 5 February starting at 7.30pm.  Registration is necessary before the event to receive the dial in details, but registration does not commit you to attending – we know things crop up!

Registration is via the events page on the RLG website pouchsupport.org/events/

Looking forward to seeing familiar friends and new faces at the February session! 

Best wishes 
David Davies
RLG Chairman

Regular attendees will recall that we usually schedule our forums on the first Monday of the month. Please note a change to this policy. As we have been made aware, there are people that would love to attend our forums but have a clash with other regular commitments they have on Mondays. So going forward, we are going to vary the day and hope this will allow more people to attend. Hence, the next forum on Wednesday 5th February. 7:30 pm as usual!

Events

J Pouch related live webcasts scheduled for 2025

J Pouch related live webcasts scheduled for 2025

The Red Lion Group schedules another series of live webcasts for 2025 featuring world renowned speakers on subjects of great interest to patients considering or having undergone J Pouch Surgery.

We are delighted to announce that this year we have a new speaker (for us!) – Clemmie Oliver – a specialist IBD Nutritionist who has a pouch herself!

As you may be aware, Red Lion Group began broadcasting live webcasts on Zoom during the COVID epidemic, when we were unable to host our regular in-person Information Day previously held at St. Mark’s Hospital. These have proved so popular that we have continued with this practice every year since, and this year is no exception with an exciting line-up of speakers as detailed below.


Janindra Warusavitarne – Consultant Colorectal Surgeon

Janindra Warusavitarne

Wednesday 13th August at 19:30 (BST)
We are delighted that our next live webcast will feature  Janindra Warusavitarne, the highly renowned Consultant Colorectal surgeon at St. Mark’s Hospital. I am sure that he is well known to many of you either from previous webcasts or indeed as one of his patients. This webcast “J Pouch or Stoma? A life changing decison” will take place on Wednesday 13th August at 7:30 pm. (BST) and as usual prior registration is required.

You can view a recording of this event on the Red Lion Group YouTube channel below.


Guy Worley – Consultant Colorectal Surgeon

Guy Worley

Monday 28th July 2025 at 19:30 pm (BST)
Former St Mark’s research fellow Guy Worley looks at the pros and cons of opting to have pouch surgery. Is it the answer for UC sufferers and what are the alternatives? He also reviews the latest technical changes in pouch surgery.  Finally, he asks if patients are properly primed to give their consent to operations? Guy is now a consultant IBD surgeon at The Royal London Hospital.

You can view a recording of this event on the Red Lion Group YouTube channel below.


Clemmie Oliver – Nutritional Advice for J Pouch patients

Clemmie Oliver

Wednesday 23 July 2025 at 7:30 pm (BST)
Recipes for success! Specialist IBD Nutritionist Clemmie Oliver looks at how diet and lifestyle can support recovery from pouch surgery and how it is pivotal to our ongoing health with a pouch. Clemmie who had UC aged 9 and has an ileo-pouch herself founded and runs The Nutrition and Lifestyle Medical Clinic (NALM). She is a passionate advocate of helping pouchees cope with food issues and nutrition needs.

This is a fantastic opportunity to hear from a specialist IBD nutritionist with personal experience of living with a J pouch. Early registration is recommended to ensure your place.
You can view a recording of this event on the Red Lion Group YouTube channel below.


Ben Barbanel – Back to peak fitness after J Pouch surgery

This webcast took place on 30 April 2025. Featuring Ben Barbanel who is a member of the Red Lion Group and owner of a J Pouch. Ben recently embarked on a fitness program and speaks about his journey to return to peak fitness at the “grand old age of 45” !

Ben is a regular contributor to Red Lion Social channels and last year was invited by Janindra Warusavitarne to speak at a European Colorectal Surgery Conference in Prague. He also Co-presented with Janindra on a Red Lion Group webcast on the “Patient / Surgeon Relationship“. Apart from the fitness content, the conversation and follow up Q&A covered in this session covers many topics relevant to Pouch Patients. You can view a recording of this event on the Red Lion Group YouTube channel below.


Others Speakers and Events to be added. You can find further information about our webcast schedule for 2025 with links to register and view recordings of previous webcasts at pouchsupport.org/events/


News

Has ulcerative colitis or related surgery impacted your ability…

Has Ulcerative Colitis or related surgery impacted your ability to work?

We have been asked to advertise a research project to be conducted by Mr Orestis Argyriou, a research fellow at St. Mark’s Hospital Academic Institute. His research is focusing on improving patient counselling around surgery for Ulcerative Colitis (UC), and more specifically into improving the delivery of information in relation to work-related experiences and Quality of Life (QoL), which he feels seems to be quite neglected.

The first step is to conduct qualitative interviews, to hear from patients about their lived experiences and the research team is interested to hear from people that have had different types of surgery (e.g. ileostomy only, J pouch or ileorectal anastomosis), as well as from people coming from different professions in terms of the physical requirements and components of their jobs.

Further information below. If you are interested in taking part please register your interest by contacting the research team by email at lnwh-tr.workuc@nhs.net

Mr Orestis Argyriou, MSc, MRCS is a Research Fellow in IBD & Colorectal Surgery,
St Mark’s National Bowel Hospital & Academic Institute


If you are interested in taking part please register your interest by contacting the research team by email at lnwh-tr.workuc@nhs.net


News

Back to peak fitness after J Pouch surgery

Back to peak fitness after J Pouch Surgery

The incorrigible Ben Barbanel has done it again!  Regular readers of Roar! will have read about the five-year plan he created to help his recovery from surgery after pre-cancerous cells were found in the lining of his rectum (Roar!’s Summer 2023 issue). For by following a set of cleverly devised rules and changes of medication, the Red Lion Group member and pouchee successfully improved his lifestyle, family life and work as a City banker. Now he has moved several steps further ahead with another, even more rigorous regime which we will call Plan A!
Ben’s aim? To reach peak fitness in all his activities at the grand ‘young’ age of 45.  And the father-of-three’s efforts didn’t go unrecognised. He joined a high-performance gym in London’s Mayfair and now features in their eye-catching, high-viz App – aptly (sorry!) named UP (which stands for Ultimate Performance). So how did our intrepid colleague hear about UP? He read about it in a fitness magazine called Men’s Health. 

As Ben says: “I often sat in boardroom meetings, glancing around, thinking ‘I’m the only fat one here’. As a senior London banker and a father of three, I felt the weight of my success – literally!

“Something just finally hit me one day when I was reflecting on the trauma of what I had been through – and I thought to myself that being in peak condition can only give me the best chance (but clearly no guarantee) of everything working well going forward, and hopefully living a long and healthy life! “I found that years of living with ulcerative colitis and long stressful workdays had taken a toll on my body, energy and mood,” he says. 

However Ben’s efforts on the course meant he not only lost all his excess pounds but also felt happier and fitter. As he told Roar!: “Losing 20kg(!) and regaining my health with UP has completely changed my life. I’m now strong, disciplined and thriving in every area of my life.” 

Ben’s personal trainer at UP, adds: “It’s no secret that Ben had complex health issues, but we managed to work through them together. He had a real eagerness to learn and was completely bought into the process at UP. That’s just one of the reasons he achieved such great results.” 

If you would like some advice and/or health tips from him, you can contact Ben at bb@barbanel.co.uk

Christopher Browne
RLG Committee member and ROAR! editor


Next week, we will be featuring Ben in a Red Lion Group Zoom webcast where he will be sharing more details about his Pouch journey and Ultimate Performance (UP) fitness routine. This will take place on zoom on Wednesday 30th April at 7:30 pm (BST) and we welcome anyone with an interest in achieving their fitness goals after pouch surgery to share their experiences. For further information and to register, go to pouchsupport.org/events/


A version of this article first appeared in ROAR! issue #68 – Spring 2025. If you would like to read other articles like this, why not become a member of the Red Lion Pouch Support group? You will receive printed copy of ROAR! twice a year and have online access to archive ROAR! editions going all the way back to issue number 1, published in 1994. See pouchsupport.org/join for further information.


Related Posts

  • J Pouch related live webcasts scheduled for 2025
    Date
    July 3, 2025
  • How one pouchee maintains good pouch function
    Date
    August 23, 2023
  • Our next webcast – featuring Janindra Warusavitarne and Ben Barbanel
    Date
    June 25, 2024

Events

J-Pouch anal and vaginal fistula study update

J-Pouch anal and vaginal fistula study update

Updated 19 March 2025

Further to our last update on this study, we are pleased to report that the team are now ready to progress to the next stage and will be sending the questionairre to the eligible participants. People that have already registered their interest in participating will be contacted directly. If you think you may be eligible and are interested in taking part in this study, please email Dr Easan Anand at lnwh-tr.pavfcoms@nhs.net

You can download further information about the study below.

PAVF-COMS-Patient-information-sheet-March-2025
PAVF-COMS-Patient-information-sheet-March-2025
Download Now!144 Downloads

Updated 30 July 2024

We previously announced a new study into fistulae being undertaken by Dr Easan Anand, a Research Fellow at St Marks Hospital.  As a reminder, a fistula is an abnormal connection (or tube) between an organ, vessel, or intestine and another organ, vessel or intestine, or the skin. They are particularly troublesome to treat – the best cure is for the body to close the fistula naturally using scar tissue.  But this takes a long time and the “tube” has to be kept open during this time to prevent a closed area developing into an abscess.  Hence the use of a Seton drain to help keep the fistula open whilst it is healing. 

The goal of the research will be to evaluate the success of treatments for fistulae and identify the optimal method(s) to achieve the best outcomes for patients.  Dr Anand will be building on work started by Dr Lillian Reza and Consultant Phil Tozer on this project.  One of the fundamental challenges is to develop a questionnaire which patients can complete to evaluate their quality of life (QoL).  The tool can then be used to measure the success of treatments in a standard way. 

By way of an update, Dr Anand reports that there have been delays in finalising the pouch fistula quality of life scale (abbreviated to PAVFQOL). This scale is essential and will be the first and only scale which is specific to pouch-related fistulae, so it is well worth taking time to ensure it is right.  Hence to all those pouchees who volunteered to assist with the research, Dr Anand sends his profuse thanks and asks that you be patient for a few more months whilst the scale is finalised.  He will then be rolling out the questionnaire for volunteers to complete. 

If you are a pouchee with a diagnosed fistula (either now or in the past) and you would like to join up and take part in this research then please email Dr Lillian Reza at  l.reza@nhs.net. All information will be treated in the strictest confidence and the research project has been improved by an independent ethical committee. 

Regards

David Davies
RLG Chair

You can view the original article on this study below.


Have you ever been diagnosed with – or treated for – a J pouch-related fistula and would you be interested in taking part in a St. Mark’s Hospital based study?

If so, would you like to help Dr Easan Anand with a research study he is leading into outcome measures for fistula treatment? Outcome measures include such things as pain, quality of life and incontinence and it is important for these to be standardised so researchers around the globe can work with the same outcomes.

Easan is working at St Marks Hospital under the supervision of Phil Tozer and Ailsa Hart, who have both given webinars for RLG in the past

Who are we looking for?

You can take part in this study if you have ever been diagnosed with or treated for a fistula related to pouch surgery and you are over the age of 18 years.

You can email Easan on lnwh-tr.pavfcoms@nhs.net if you have any further questions.

Introductory discussion meeting on Teams

Easan will be holding an introductory study management group meeting on 18 March 2024 at 7:00 – 7:30 pm on Teams. This will be purely an introductory discussion and is a fantastic opportunity to find out more about the study if you are considering taking part.

If you would like to attend, please email Easan on lnwh-tr.pavfcoms@nhs.net to request the Teams meeting link.

Dr. Easan Anand

Related posts

  • J-Pouch Fistula Study
    Date
    January 28, 2022
  • New season of J-Pouch webcasts announced for 2023
    Date
    January 29, 2023
  • RLG monthly J Pouch forums on zoom
    Date
    July 10, 2025

News

Wear your Red Lion Group T-Shirt with Pride!

Wear your Red Lion Group T-Shirt with Pride!

High quality Red Lion Group T-shirts with the new logo are now available for purchase at a cost of £10 each plus £2.50 post and package.  White and with the red and grey logo displayed prominently on the chest, they are a striking addition to any summer wardrobe.  These are very good quality T-shirts and you won’t be disappointed!

A guide to sizes is provided below:  

SizeSMLXLXXL
Chest (inches)34/3638/4042/4446/4850/52

Please contact David at info@pouchsupport.org with your size(s) and delivery instructions and see below for payment instructions .

Please send your payment by scanning QR code below or click here. Cost is £10.00 each plus £2.50 for post and packing. All proceeds will help to bolster the RLG finances for 2025.

When you go to the payment website you will see the following page.

Enter the applicable amount as advised in the AMOUNT box to make a one off donation.

Please do NOT tick the Gift Aid box.

Membership Secretary Gary Bronziet in Mauritius 2024
David Davies in Playa Blanca. Lanzarote 2025

Please send us pictures of yourself wearing a Red Lion Group tee shirt with pride and we will add to gallery!

News

Top 10 most viewed J Pouch posts on pouchsupport.org

Top 10 most viewed J Pouch posts on pouchsupport.org

We are delighted to report that the number of Red Lion Group website views recently hit the 200,000 milestone. In this post, we highlight the Top 10 most popular posts over the last 12 months. If you haven’t seen them already, you can jump directly to the applicable post by clicking on the entry below.

TOP 10 most popular posts/pages views over last 12 months,

We are proudly establishing ourselves as the go-to place on the internet for information and advice relating to the j pouch. Although we are UK based (closely linked with St. Mark’s Hospital – the UK national bowel hospital) we have members and website viewers from across the globe.

You can see in the image below the top 20 countries ranked by number of views.

Top 20 countries by website views (all time as of 16 March 2025)

To date (16 March 2025) We have had website views from a total of 162 countries.
Note that we CANNOT identify individuals viewing our website – only their country of origin.

If you would like to see ALL of the country view statistics (as of 16 March 2025) you can download the details below.

Country Views (PDF)
Country Views (PDF)
Download Now!126 Downloads

Some surprising names on the list. I wonder, do all of these countries have pouch patients or an interest in pouches? I suspect that some of the countries, particularly towards the end where there is only 1 view, may have stumbled upon us by accident – maybe searching for something else. But who knows!

News

Join St. Mark’s Study: Help Shape a Sexual Function…

Join St. Mark’s Study: Help Shape a Sexual Function Questionnaire

A research team at the St. Mark’s Hospital Academic institute is looking for volunteers to help refine a sexual function questionnaire which will be used to support patients undergoing non-cancer colorectal surgery.

Fellow pouchees and past pouchees,

Those clever people at the St Marks Academic Institute have asked for our help in seeking 20 – 25 volunteers who can help them with some crucial research.  Please consider taking part in this study and email Shivani at LNWH-tr.sexprom@nhs.net if you would like to take part.  

The sex-PROM study will develop a sexual function questionnaire which will be used to support patients undergoing non-cancer colorectal surgery. This includes people like us who have undergone or are undergoing ileo-anal pouch formation. 

The team has now developed the initial questionnaire.  The next phase is to test the questionnaire to ensure it is relevant to patients, easy to understand and effectively supports patients after surgery. Participation in this phase will involve a short, 30 minute interview via Microsoft Teams/Zoom at a convenient time for you. During the interview, you will be asked to fill out the draft questionnaire and provide your feedback on the layout, wording and response options to ensure they are relevant and easy to understand. That’s it! – a 30-minute zoom call at a convenient time during which you will be asked to review a form and give your feedback!

The study is open to men and women and you do not need to have a sexual dysfunction to take part.  All responses will be anonymised and treated in strictest confidence 

Thank you for your consideration, on behalf of Shivani and the team at the St Marks Academic Institute.  

David Davies
RLG Chairman



News

J Pouch Support facebook group hits 1700 members

J Pouch Support facebook group hits 1700 members

The J-pouch support (UK specific) facebook group is a super platform for the sharing of questions, comments, information, tips and advice on pouches.  It has been in existence for 10 years or so and has never been so popular.  We posted a story of the 1,500th member, Amanda Nash, not so long ago.  Well, the membership has just recently passed 1,700, reflecting the value of this j pouch support facebook group to pouchees and their loved ones.  

The 1,700th member is James Miller and here is his story:

James Miller – J Pouch Support Facebook group 1,700th member

I’m a specialist in data and analytics and currently leading a fast-growing management consultancy. It is a busy and full-on job, growing and running the business.
I stress this, as I was so sick before I had my ileo-anal pouch, I wasn’t sure I’d ever work again. Thankfully, my pouch has enabled me to live as normal a life as possible, and I’ve been determined to live it on my own terms.
I live in Buckinghamshire with a very understanding wife, two teenagers (less understanding) and a dog (who keeps me fit). Hobbies wise, I love exercise, a bit of cycling, gym stuff, and time in the garden.
I was originally diagnosed with Ulcerative Colitis in 2010, and none of the standard medications worked, apart from steroids. After 4 years on and off steroids, and essentially in a constant state of flaring, I was very ill, tired, and at my wits end.
In 2014 I elected to have pouch surgery after deciding against biologic medication. I was taken through the various risks and considerations by Janindra Warusavitarne at St. Marks Hospital and saw that I was in expert hands. St. Mark’s has been a feature of my life for 15 years, and the team there continues to provide amazing support. I’m happy to travel the 40 odd miles to my appointments, despite the London traffic!
I chose a pouch over a stoma as I have always been sporty and felt that with my hands full with two small children (at the time), I didn’t fancy having an external bag.
My surgery was completed over the course of three ‘sessions’ and full pouch connection was made in December 2014.
I’ve lived with the pouch for 10 years now, and for most of that time things have been great. They are certainly better than before the surgery and I’m much fitter overall now than I was in my mid-thirties.
I have had a couple of cases of pouchitis, which were well managed by antibiotics. My pouch function has changed, and it is slightly less effective, but still very manageable. I’ve also discovered that psyllium husk works wonders for my pouch function.
When I had my pouch I was told that like a baby it can be irritable and prefers routine, which was excellent advice.
Over the years I’ve helped a few people considering surgery answer their questions about the j pouch and tried to show them that it can actually be a very liberating surgery.
I’ve joined the group as I thought it was a good idea to finally join the wider pouch community after a decade of living with one.

Thank you so much for taking the time to pen your story James and very best wishes for continuing good pouch health. 

David Davies
RLG Chairman and Facebook group administrator


The J Pouch Support (UK specific) facebook group is a private group that welcomes members from all over the world. If you are not already a member you can submit a join request by clicking here.


News

Would you like to help with research to improve…

Would you like to help with research to improve patient care?

If you suffer with Crohns disease or Ulcerative Colitis you may be eligible to take part in this survey being conducted by a St. Mark’s Hospital Research Fellow. See below for further details and follow the link or scan the QR code if you feel you are eligible and would like to complete the questionnaire.

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Recent Posts

  • RLG monthly J Pouch forums on zoom
  • J Pouch related live webcasts scheduled for 2025
  • Has ulcerative colitis or related surgery impacted your ability to work?
  • Back to peak fitness after J Pouch surgery
  • J-Pouch anal and vaginal fistula study update
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