This can occur along with diarrhea and intestinal blockages.
3 Stages of J-Pouch Surgery
J-Pouch surgery is usually done in 3 stages with a period of approximately 12 weeks between surgeries, depending on how sick the patient is entering surgery. (Actual number of stages may vary based on the surgeon’s recommendations and the patient’s health)
Remove the colon and most of the rectum, leaving behind only approximately 1cm of a rectal cuff. The patient is given an end ileostomy to allow the bowel to heal and the body to recover.
Create the J-pouch out of the small intestine. The patient is usually given a loop ileostomy and the J-pouch is allowed to heal.
Connect the J-pouch to the rectal cuff, creating an ileoanal anastomosis. This connection allows the patient to defecate normally through the bottom.
In most cases, J-pouch surgery
alleviates ulcerative colitis significantly.
However, J-pouch surgery is NOT a cure for ulcerative colitis. Sometimes patients develop complications:
the patient has the right to decide to move forward with the J-pouch or keep the ostomy upon removal of the colon. Also, not all temporary ostomies are able to be taken down and not all J-pouches are able to be connected. It would be best to discuss your particular situation with your surgeon prior to moving forward.
Written by Tina Aswani Omprakash. Medically reviewed and validated by Jordan Axelrad, MD, MPH. These webpages are funded by a grant from The Leona M. and Harry B. Helmsley Charitable Trust.