Ileoanal Pouch Surgery

When the large intestine and rectum are removed due to colorectal disease, another pathway must be devised for solid waste to exit the body. A J-pouch, a surgically created \"J" shaped reservoir, is an alternate way to store and pass stool.

Ileoanal pouch surgery (also called J-pouch, ileal pouch-anal anastomosis, restorative proctocolectomy, ileal-anal pullthrough, internal pouch, and others) is a procedure in which surgeons create a new internal reservoir where the rectum used to be. The pouch is created out of a portion of the small intestine, and is attached to the anus.

Using specialized techniques to connect the ileoanal pouch to the anal canal, we are often able to restore intestinal continuity even in complex cases. Ileoanal pouch surgery may be the optimal treatment for patients with ulcerative colitis, Crohn's disease, familial adenomatous polyposis (FAP), select patients with Crohn's colitis, or other conditions involving disease to the large intestine and or rectum.

Surgeons at the Division of Colorectal Surgery have extensive experience with the nuances involved in the planning and creation of the ileoanal pouch, and our superior surgical outcomes reflect that advanced level of expertise. In considering ileoanal pouch surgery, we include consideration of the timing of the procedure, surgical strategy (including a staged approach), and anticipated early and long-term outcomes.