I NEED HELP UNDERSTANDING THE OUTLET SIZE/POUCH SIZE

I had four endoscopys run last year. The third endoscopy, my outlet was stretched to 18mm. NOTHING has been the same since!! The fourth endoscopy revealed it had closed to 16mm. I lost 4 pounds in five months. I had an upper GI run, the pouch size is 1.5 ounces. The outlet is still at 16mm. The surgeon is telling me the outlet size doesn't matter. I am suffering from severe malabsorbtion. I was told the answer was to operate and lengthen my instestines. I have read it will slow my weight loss. I also was told I would "relieve myself" 3-6 times per day even up to "extreme", if you know what I mean. What is the optimal size for the outlet? I was originally told 12mm-14mm. What is the optimal size for the pouch at 11 months post-op? I am upset. Can anyone help me out here? Thanks!!

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