What is Ileoanal anastomosis?

Overview. Ileoanal anastomosis (il-e-o-A-nul uh-nas-tuh-MOE-sis) surgery (commonly called J-pouch surgery) allows you to eliminate waste normally after removal of your entire large intestine (colon and rectum). J-pouch surgery is also known as ileal pouch-anal anastomosis (IPAA) surgery.

What is proctocolectomy with ileostomy?

Total proctocolectomy with ileostomy is surgery to remove all of the colon (large intestine) and rectum.

What is a Pouchogram?

The pouchogram is done to assess for leaks or other long term complications such as strictures at the ileo-anal anastomosis or the pouch itself; sometimes to assess the capacity of the pouch.

What is a proctocolectomy with IPAA?

DESCRIPTION. A restorative proctocolectomy with ileal pouch-anal anastomosis (RPC-IPAA) removes the entire colon and rectum while preserving the anal sphincter and, hence, normal bowel function and fecal continence [3-6]. The pouch serves as an internal pelvic reservoir for intestinal contents.

How painful is a proctocolectomy?

If your rectum has been removed, you may feel the stitches in this area. It may feel tender when you sit. You will probably have pain when you cough, sneeze, and make sudden movements. This may last for several weeks but will improve over time.

How do you poop after a proctocolectomy?

After proctocolectomy to remove your colon and your rectum, your surgeon may connect your small intestine to your anus (ileoanal anastomosis). This allows you to expel waste normally, though you’ll likely have several watery bowel movements daily.

How long is a Pouchogram?

The procedure usually lasts about 15 minutes but you may be at the hospital longer if we need to see emergency patients. You will be asked to change into a hospital gown to make sure that no metal coins/objects or bra straps are seen on the pictures.

How do you perform a pouchoscopy?

A pouchoscopy is an endoscopic examination of the pouch. It is a simple, recommended procedure that is performed with a slim, flexible tube called an endoscope. This tube has a camera at the tip to provide a close-up view of the inside of the pouch. Biopsies or polyp removal may be performed during this procedure.

How do you poop with J pouch?

During the J-Pouch procedure — or more often multiple procedures — the colon is surgically removed and the small intestine is reconstructed to allow for stool to exit the body through the anus in a controlled fashion.

When to have an ileal pouch anastomosis surgery?

About 31% of patients with ulcerative colitis (UC) will eventually require surgery. 1,2 Restorative proctocolectomy with ileal pouch–anal anastomosis (RPC) first described in 1978 3 is now the procedure of choice for patients who require surgery for UC and selected patients with familial adenomatous polyposis (FAP).

Can a total proctocolectomy be replaced with an ileostomy?

In selected individuals, it replaces total proctocolectomy with end ileostomy, and allows for the retention of gastrointestinal continuity — a major concern for all patients.

Is the J pouch the same as the ileostomy?

The single-access J-pouch procedure utilizes the same incision site for both the laparoscopic access port and the site of the ileostomy. What is a proctocolectomy?

What kind of surgery do you need for A proctocolectomy?

Proctocolectomy surgery can be carried out either through open surgery or laparoscopic (keyhole) surgery. The type of surgery you receive will depend on your circumstances and the surgeon you have. It should be discussed with you prior to your operation.