This is something that puzzles me. I've looked at a lot of sailboat diesels over the years, but I've NEVER seen any significant blockage in the elbow (or anywhere else in the exhaust system).
I'm puzzled for just the opposite reason. I don't seem to get more than 400-500 hours before my elbow is coked and choked. It seems to be split both ways on this site ............. some don't see any ill effects while others suffer the same effects which I've experienced. Can't say the water passage is any great shakes either as shown below.
In the battered ruin above, notice the small dam (causes a sharp turn) for the exhaust gasses is almost completely gone as opposed to the picture below of a cleaned out elbow ...............
I'm doing everything by the manual ............... run at 27-2800 RPM, rev to 3000 in neutral for a few secs. and then shut down when finished with the engine, and keep the air filter clean (it's never been dirty). There is no visible smoke from the engine. The engine has done this from the first 500 hours when new.
I'm seriously considering going with a SS elbow this time around, primarily because it's less than 1/2 the price (even with exchange) of a cast iron one from our friends at Stem to Stern. I'll be pulling it every year (about 100 running hours/yr.) for the first few years to make sure nothing unusual is happening inside.