As common as these stricture situations sound, I'm curious if anyone has been told a way to help prevent them or do doctors even know why they happen in the first place? Is it just a charlie horse in the pouch area?

Mine is that my pouch opening has shrunk down to a very small state and nothing but liquids can get through. How to prevent them ? Doubt if there is a definitive answer, in theory if you take your omeprazole and other PPI you won't develop what I have the stricture and multiple ulcers. I tried to explain, for me, omeprazole is not gastroprotective, I was on that therapy when my gastroenterologist Dr Mujtaba found gastritis and Hector, my original little ulcer, in December 2017. He changed me to Dexilent, which was working well, until they took it away and gave me the stinkin' omeprazole. I told them 2 weeks post surgery there was something wrong and I was correct. My pouch does spasm, feels like she is clenched into an angry little fist, and I still do vomit occasionally. I was trying either a shake or soup once a day, but it is not worth the ❤ ache it causes and I have decided to let PP and her ulcer friends, lay calm in there because the TPN has been formulated to supply my needs nutritionally. Do I miss food? Well yes and no, I sort of do some but it isn't worth the grief food causes.