Redo Pouch and Pouch Salvage Procedures

When pouch failure occurs, our experience and expertise may allow for further sphincter preservation. Options may include pouch revision, creation of a redo pouch or neo-pouch creation. In some circumstances, the conversion of a J-pouch into a continent ileostomy (K-pouch) may be considered for the preservation of continence and improvement of quality of life. Salvage of ileoanal pouches may involve specialized perineal and abdominal techniques for pouch-perineal or pouch-vaginal fistulae, pouch sinus, pelvic sepsis related to the pouch, pouch and anastomotic strictures, Crohn's disease complicating the pouch, and pouch prolapse.