J Pouch Surgery

1 What is an Ileoanal Anastomosis (J-Pouch) Surgery?

A surgery that allows you to eliminate waste normally after the removal of the colon and rectum is called ileoanal anastomosis knew as IPAA or J-pouch.

This is used to treat inherited conditions such as familial adenomatous polyposis which carries the risk of rectal and colon cancer, and to treat chronic ulcerative colitis.

This can also be used to treat rectal and colon cancer.

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2 Reasons for Procedure

Here are the most common reasons to undergo an ileoanal anastomosis (J-pouch) surgery.

This surgery is for people who have had their large intestine surgically removed due to injury or disease.

The diseases and conditions of the large intestine that may require surgical removal include:

3 Potential Risks

The risks that are associated with ileoanal anastomosis (J-pouch) surgery that involves opening of the abdomen includes:

  • Infection
  • Excessive bleeding
  • Leakage of stool
  • Anal stenosis
  • Pouchitis
  • Pouch failure

4 Preparing for your Procedure

In preparing for the ileoanal anastomosis (J-pouch) surgery, you and your surgeon will discuss the details of the surgery and he will give you instructions on post-operative care.

A nurse will put an intravenous (IV) line in your arm to so you can receive fluids and medications. You will be given a bowel preparation to cleanse the bowel for surgery.

5 What to Expect

Here you can find out what to expect from your ileoanal anastomosis (J-pouch) surgery.

The surgeon will remove the entire colon and rectum while opening the anus and preserving the sphincter.

A pouch shaped like J will be constructed at the end of the small intestine and will be attached to the anus. He will construct an opening in the abdominal wall or ileostomy for eliminating waste.

This is just temporary so that the pouch can heal. After a few months, he will remove the ileostomy so you can now pass bowel movements through the anus.

6 Procedure Results

Understanding the results of your ileoanal anastomosis (J-pouch) surgery will be made possible by your doctor.

You can return to your normal activities after the surgery. Women who had undergone this can still be pregnant but this may affect fertility.

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