recommended surgery for j-pouch removal

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Regular Member

Date Joined Jan 2011
Total Posts : 55
   Posted 2/1/2011 4:48 PM (GMT -6)   
I will have to have my failing j-pouch removed (chronic pouchitis, and physical problems with pouch)  at some point in the future and converted to perm. ileostomy , and was wanting to know if there is any preferred type of surgery for this?  What I was meaning, is a loop ileostomy,and leaving the pouch intact not reccomended?  If pouch is completely removed, do they usually leave the rectum, or what do they leave? I will be talking to a surgeon in the next few months, but was just curious what is usually done.  TIA

Veteran Member

Date Joined Feb 2006
Total Posts : 5698
   Posted 2/1/2011 4:51 PM (GMT -6)   
If you currently have a jpouch, then you don't have a rectum. Your rectum was removed during your jpouch surgery but 1cm of rectal cuff tissue was left for continence purposes.

The surgery I think you want is a permanent ostomy. They will remove your jpouch and sew up your anus. If you opt to keep your jpouch in the event you ever want to revert back, you will still have drainage from the pouch since it's still a living tissue.

I think it's your choice on which way you want to go.

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