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In medicine, the ileal pouch–anal anastomosis (IPAA), also known as an ileo-anal pouch, restorative proctocolectomy, ileal-anal pullthrough, or sometimes referred to as a j-pouch, s-pouch, w-pouch or an internal pouch, is an anastomosis of the ileum to the anus, bypassing the former site of the colon in cases.
Ileoanale pouch. The S pouch must be hand sewn. It removes the ileostomy and reconnects the bowel. The procedure avoids the need for a permanent opening in the abdomen (stoma) for passing bowel movements.
Waste goes into the pouch and is stored. The J pouch is made out of the distal ileum folded back onto itself once, whereas the S pouch is made by folding the distal ileum twice. The second surgery is usually done 2-3 months later.
The pouch can then work. The J-pouch is usually made 15 cm in length and can be constructed with a bowel anastomotic stapling device. J-pouch surgery is also known as ileal pouch-anal anastomosis (IPAA) surgery.
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). Over the past twenty years, the ileoanal pouch procedure has become widely accept-ed as the procedure of choice for certain patients requiring surgical treatment for ulcer-ative colitis and familial polyposis coli. Ileoanal pouch (restorative proctocolectomy) This procedure is undertaken as a restorative option in patients that need to have their entire rectum removed by creating a new pouch reservoir out of the existing small intestine in its place.
A temporary ileostomy is made between the small bowel and the skin of the abdomen where stool and gas can be passed.
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