Part 2 of 3 J-Pouch Dec 3rd

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Regular Member

Date Joined Oct 2008
Total Posts : 160
   Posted 11/23/2009 11:11 AM (GMT -7)   
Well 10 days and counting. My second part of the J-Pouch is coming up real soon. The first part was done in September (Colectomy with Iliostomy). This time they are going to remove the rectum, and create the pouch. Then put me back with an Iliosotomy.

Is there anything I should know before the procedure? Im assuming when I wake up, things will be almost identical to the first procedure. Also, how long usually until the take down happens after this part is done?


Regular Member

Date Joined Jan 2008
Total Posts : 381
   Posted 11/23/2009 12:02 PM (GMT -7)   
I had the 3 step surgery and recovery from 2nd surgery was much easier for me than recovery from 1st surgery. You will have a loop ileostomy which is different from the end ileostomy you had before. Prepare to make some changes to the wafers that you use.

Time from 2nd to 3rd surgery was 4 months- longer than usual but I had some complications unrelated to the surgery. I think many people have a 2 month wait between 2nd and 3rd surgeries.

Good Luck
Jackie, 44
Pancolitis, DX October 06
Lexapro, Synthroid, Protonix- NO MORE PRED!!!

Surgery March 13th- Total Colectomy
Jpouch surgery to be done in 3 steps
Step 2- June 23rd
Step 3- REVERSAL:::::: October 23rd -YEAH!

Regular Member

Date Joined Oct 2008
Total Posts : 160
   Posted 11/23/2009 12:09 PM (GMT -7)   
Cool. Thanks for the info. Im really looking forward to it, because the UC crept back in to the remaining rectal tissue about a month after my first surgery. The rectum will be removed on the second, so Im really looking forward to living a pain free life after this surgery.

Forum Moderator

Date Joined Feb 2006
Total Posts : 5698
   Posted 11/23/2009 12:27 PM (GMT -7)   
A temp ileo can be more difficult to deal with than a perm. Expect to have more skin-related issues.

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

Regular Member

Date Joined Sep 2008
Total Posts : 153
   Posted 11/24/2009 9:24 AM (GMT -7)   
Wishing you the best of luck, John. I had step 1 done in May, and I am still awaiting steps 2 and 3. Let us know how step 2 goes. I am curious of what to expect!
Diagnosed w/IBS: Oct. 2006  Diagnosed w/UC: Jan. 2007 (proctitis), July 2008 (pancolitis)
1st Surgery for J-Pouch: May 22, 2009 - need 2 more surgeries, dates TBD
Medications: Canasa Rowasa enemas; Lialda; Prednisone; Protonix; Remicade; Zyrtec-D; Toprolvarious pain meds post-surgery;
Supplements: Women's One-a-day multi-vitamin; Super B-complex
Current Status: Aug, 2009 - Recovering from the 1st stage of J-Pouch surgery; temp ileostomy; 2 more surgeries to go as there was too much damage to create a J-pouch

Regular Member

Date Joined Oct 2008
Total Posts : 160
   Posted 11/24/2009 10:00 AM (GMT -7)   
Will do. Gotta borrow a WLan card from a friend so I can use my laptop at the hospital.
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