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Terrell
New Member


Date Joined Apr 2010
Total Posts : 13
   Posted 4/27/2010 1:39 PM (GMT -6)   
Can someone please explain to me what is a j-pouch versus external? Which one is better?

suebear
Veteran Member


Date Joined Feb 2006
Total Posts : 5698
   Posted 4/27/2010 2:24 PM (GMT -6)   
First, neither one or the other is better. They are both good surgical options and it's important to understand the 2 so you can make a decision on what surgery type is best for you.

A permanent ileo is an ostomy. Waste empties from the abdomen into a external bag and the bag is emptied.

The jpouch is a false rectum that is constructed out of the small intestine. It allows for normal waste evacuation but with a higher frequency.


Sue
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


Terrell
New Member


Date Joined Apr 2010
Total Posts : 13
   Posted 4/27/2010 2:39 PM (GMT -6)   
okay thanks alot for that explanation. I have a colostomy now and I will have to undergo surgery again to remove my colon (a total colectomy). I know what I am going thru now, emptying my bag like 10-12 times a day and all thru the night. It gets annoying and I just wanted to know what was the difference.

Equestrian Mom
Veteran Member


Date Joined Mar 2008
Total Posts : 3115
   Posted 4/27/2010 5:30 PM (GMT -6)   
Terrell~in your other post you mentioned you have Crohn's. J-pouches aren't usually recommended for Crohn's patients:(

If you are having high output you may want to try Imodium or a bulking agent to help. Adjusting your diet could help, too.
Crohn’s dx 1989
some terrible years before my
Proctocolectomy in 2008


Terrell
New Member


Date Joined Apr 2010
Total Posts : 13
   Posted 4/28/2010 4:38 AM (GMT -6)   
Oh okay, thanks ohio76!

honestwoman50
Veteran Member


Date Joined May 2009
Total Posts : 833
   Posted 4/28/2010 2:52 PM (GMT -6)   
Terrell
I just had my colectomy and I have a internal J-Pouch, it is just a part of your intestine in the shape of a J that is now your new colon in a way...its a sm. resivour to hold pooo and it is attached to your rectum.  So it does not hold a lot, and you pooo more in the beginning but now I am down to 3x a day so not bad at all.
 
Did the doc say if he could re-attach you to your rectum once they remove your colon?  Or because of the crohns you have to have a appliance?  Just wondering, I had the total colectomy and was reattached, feel wonderful and things work great.  One thing I know for sure is if you want to try to strain to push out your pooo that just does not happen.  You wont have the ability to force things....but with a J pouch you dont have those types of situations, when you feel like you have to poooo it just comes out.....mine works great....so hopefully you will be alright...
 
Leslie
Leslie King
 
  1984 Tubligation  1992 Diagnosed with Thyroid tumor    
1993 Gallbladder Removed  1997 Hysterectomy  1998 Carpol Tunnel 
 1999 Spinal Cord Surgery for a Anacroid Syst
2001 Lower Lumbar Fusion L4-5  
2003 Sigmoid Colon Resection
 2006 Right Knee Replacement 2005 Breast Reduction
 2008 RE-did the Lower Lumbar Fusion/ lamanoctomy
2010 DX: colonic Inertia/ Pelvic Floor Disorder
2010 Total Colectomy ABD W/O proctectomy; w/Ileosto
 
  


Terrell
New Member


Date Joined Apr 2010
Total Posts : 13
   Posted 4/28/2010 10:06 PM (GMT -6)   
unfortunately they wont be able to reattach me, then again I will ask them that question before the surgery but I am pretty sure that I will have to have a appliance, I heard that the j-pouch is not an option for crohn's patients.

honestwoman50
Veteran Member


Date Joined May 2009
Total Posts : 833
   Posted 4/29/2010 2:00 PM (GMT -6)   
Terrell
  Yes I too have herd that, sorry.  But you will so much better once its all over...prayers for you.
 
Leslie
Leslie King
 
  1984 Tubligation  1992 Diagnosed with Thyroid tumor    
1993 Gallbladder Removed  1997 Hysterectomy  1998 Carpol Tunnel 
 1999 Spinal Cord Surgery for a Anacroid Syst
2001 Lower Lumbar Fusion L4-5  
2003 Sigmoid Colon Resection
 2006 Right Knee Replacement 2005 Breast Reduction
 2008 RE-did the Lower Lumbar Fusion/ lamanoctomy
2010 DX: colonic Inertia/ Pelvic Floor Disorder
2010 Total Colectomy ABD W/O proctectomy; w/Ileosto
 
  


andorable
Veteran Member


Date Joined Jun 2005
Total Posts : 981
   Posted 4/30/2010 6:30 AM (GMT -6)   
Hi Terrell,
I have a permanent ileostomy due to crohns disease and had a proctocolectomy as well and my colorectal surgeon said j-pouch wasn't an option for me either. But I have recently heard a little about the k-pouch which could be an option. I dont know a lot about it but from what I have read you dont wear an appliance its like a button hole in your abdomen that you insert a tube into to drain when required, It looks interesting but I live in Australia and theres only one doc here that does it and he is in a different state to me, but I am very interested in learning more about it.
Good luck hope all goes well for you. take care
Doreen
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