Doctor insights on:
Number J Pouch Prepare
What to do if i'm having surgery number two for a j-pouch, is there anything I should do to prepare?
Yes read about it: If you already has ileostomy stoma ,You experienced difficulty of frequent bag changes Once you have pouch you don't need to do , but has to learn how to evacuate the contents with out getting injured . The stomal care team and your doctor will teach you your life style will be better Good Luck . ...Read more
What do you advise if I'm having surgery number two for a j-pouch, is there anything I should do to prepare?
Discuss with your surgeon: This is a complex discussion that should be done with your surgeon and your primary care doctor prior to any surgery. It is far too difficult to cover this topic in this short space. Wish you well. ...Read more
What do you suggest if i'm having surgery number two for a j-pouch, is there anything I should do to prepare?
The first steps: For the creation of a small intestinal pelvic pouch, also known as a j-pouch is to remove the colon and rectum. Then the pouch is made by folding the small intestine into the shape of a "j" - and sewing the sides of each limb together. The base of the j is sewn to the anal muscles. ...Read moreSee 1 more doctor answer
After removal of the: Entire colon and rectum. Many years ago people with diseases such as ulcerative colitis and familial polyposis required removal of the entire colon and rectum and needed an ostomy - a bag on th skin to collect stool. Now we can create a j-pouch to create a reservoir to allow function without an external bag. ...Read moreSee 1 more doctor answer
Crohn's or UC : Inflammatory bowel disease or colonic inertia require a pancolectomy--removal of the entire colon. The result is loose stool for 6-12 months, typically. And 1-6 bms/day. Stool bulking agents can lessen this issue, but the younger one is (<50 yrs old) the better the chance that this consequence will be mitigated with meds & diet & time. ...Read moreSee 1 more doctor answer
It depends.....: If you need your colon and rectum removed you can either have an ileostomy or pelvic pouch. Depending on the reason for surgery there may be alternatives but for the restoration of bowel function - no bag - but nothing as effective as a pelvic pouch! ...Read moreSee 1 more doctor answer
Depends: Depends on laparoscopic or open. Also depends if any peri-op complication. If all goes well, hospital stay can be from 3 to 7 days. Most pts are doing normal activity in 1-2 weeks but takes good 2-3 months to fully recover. ...Read more
J-pouch: J-pouch surgery is a procedure used following the surgical removal of all of the colon and most of the rectum, usually in ulcerative colitis or marked hereditary colon polyposis. It is a procedure that uses part of the small intestine folded over and sewn into a new rectal pouch. It is a highly specialized surgery performed by well trained surgical specialists who perform this surgery regularly. ...Read more
1 of several options: When ulcerative colitis causes chronic problems and not treatable by standard medications, the removal of the entire colon is usually recommended. This will leave the patient with either an ostomy (referred to as a "bag") or a pouch can be created and connected to the anus (called a continence procedure). The latter has potential problems, but many young patients prefer than to a bag. ...Read more
J-pouch surgery: J-pouch is a term used for an operation that requires all of the large intestine (colon) to be removed, such as for ulcerative colitis. It is seldom performed for Crohn's disease. The pouch is made from the end of the remaining small intestine and connected to the rectum. It is a way to avoid a permanent ileostomy. Surgery performed by highly trained specialists. Needs good anal sphincter control. ...Read more
J pouch : This is not a simple answer, you should speak with a colorectal surgeon, but typically you have more frequent bowel movements a day - ranges at best from 3-5 to 10 - 15 times a day. You can have pouchitis, bacterial overgrowth, and don't forget about the small but real risks of sexual dysfunction and incontinence from surgery. ...Read more
I have a j pouch. Now have uc in reconnective site. Flaring for months now. Suggestions? Help please?
See GI/probiotics: This is hard to give advice for on the site. This will involve a careful discussion with your GI doctor and surgeon to determine best course of action. I would definitely go on probiotics if you haven't already. Good data that it helps with UC in pouch patients. You may need to go back on immune suppressants as well if a course of antibiotics does not help. Good luck! ...Read moreSee 2 more doctor answers
Carefully!: Using 4-5 small incisions we free up all the attachments of the colon and rectum. Then we divide the rectum above the anal muscles or sphincters and make an extraction incision. About 3 inches in size. After removal of the colon and rectum we create the pouch and then attach it to the anal muscles. Sometimes you need a bikini incision to help with the pelvic part of the surgery. ...Read moreSee 1 more doctor answer
Depends: This is highly dependent on why this surgery is indicated. If the person is not too elderly or have other risk factors such as crohn's disease or extensive cancer, then a j-pouch may be appropriate. This is performed by a trained surgeon who has the proper knowledge. Some patients do not have a choice due to their disease condition and will need an ileostomy. ...Read moreSee 2 more doctor answers
Depends on the: Indications for the surgery. Crohn's disease should never be treated with a j pouch. Then it is an issue with the patients preferences and life style and skills of your surgeon. J pouch usually requires a temporary ileostomy and thus an extra operation to close the temporary ileostomy. These are issues to discuss with the surgeon and contact your local ostomy association, meetings and ask members. ...Read more
It certainly is: If your original diagnosis was crohn's. Crohn's can involve all or any portions of the GI tract. If your j pouch was created for presumed ulcerative colitis which ultimately turned out to be crohn's and thus required the removal of the pouch, any residual rectum would be at risk for crohn's. ...Read more