J-Pouch 2-stage surgery question.........I should have asked the Doc for clarification

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New Member

Date Joined Oct 2008
Total Posts : 7
   Posted 10/31/2008 4:47 PM (GMT -6)   
Having j pouch surgery as soon as surgery time is available.
If I heard surgeon correctly......... step 1 he will remove my large colon, make the j pouch from small bowel........connect it to the rectum and do temporary ileostomy. Temporary diversion allows j pouch and connection at short rectum to heal completely

Two questions
How does surgeon construct the diversion apparatus to completely seal off the small bowel?
Step 2 - ileostomy is removed and closed. Is there not some repairs done at the small bowel end of ileostomy? This area would not have chance to heal as BM stuff has to go somewhere



Ontario Canada

Regular Member

Date Joined Feb 2007
Total Posts : 420
   Posted 10/31/2008 5:29 PM (GMT -6)   
Well, I'm not a surgeon, but from the way I understood it....when you have a temp ileo it usually a loop. So it's like a garden hose, they fold it, stick the fold through you abdominal wall, and make an opening there. So, most waste goes out the hole. It is not a complete "Seal", a tiny bit of stool will sometimes get through, and you just pass that and mucus like "normal". After the ileosotmy is taken down, you go through your bum like you used too. I am sure that BM stuff is flowing over stitches and such, but it's just the way it's done, I guess. Everything heals up nicley anyway.
I hope that helps a little, I'm certainly not an expert! :) Good luck on your surgeries! I am much happier after mine!
If at first you do not succeed, then skydiving is surely not meant for you.
Jo - UC, total colectomy and ileostomy on August 24, 2007. Step 2 & ileosotmy switched to left side - May 27, 2008, and take down August 8, 2008. LIFE IS GOOD.

New Member

Date Joined Oct 2008
Total Posts : 7
   Posted 10/31/2008 6:09 PM (GMT -6)   
Hey.......I like your bedside manners....... now have better understanding of how stuff moves. Glad to hear "Life is Good"

Equestrian Mom
Veteran Member

Date Joined Mar 2008
Total Posts : 3115
   Posted 10/31/2008 8:18 PM (GMT -6)   
i don't think it would be any different then when you have a resection...they have to stitch the bowel back together and it always seems to work!! Plus, I think the surgery can even be done in one step, so the stitches/staples should be enough to keep everything together:) Good luck with your upcoming surgery, keep us posted on how you are doing!

Veteran Member

Date Joined Feb 2006
Total Posts : 5698
   Posted 10/31/2008 8:24 PM (GMT -6)   

The jpouch surgery involves removing both the colon and the rectum.  The first surgery removes both organs, creates the jpouch and connects it to the remaining rectal cuff.  The ileostomy is like a hose cut in half so you will have some diversion from the small intestine to the new pouch.  Don't be frightened if your new pouch starts functioning before your ileostomy is closed.  It's normal.



dx proctitis in 1987
dx UC in 1991, was stable until 1998

1998 started prednisone, asacol, pentasa, nortriptylene, ativan, 6MP, rowasa enemas and suppositories, hydrocortisone enemas, tried the SCD diet, being a vegetarian, omega 3s, flax, pranic healing, yoga, acupuncture, probiotics

2000 lost all my B-12 stores and became anemic

2001 opted for j-pouch surgery- now living life med-free

New Member

Date Joined Oct 2008
Total Posts : 7
   Posted 10/31/2008 8:45 PM (GMT -6)   
Thank you all for your comments...........good stuff to hear.......I keep learning

Waiting for doctor office to call with surgery date........expect it will be early January

Will try to keep you posted

Thanks again
70 Years and growing

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