Ileal pouch anal anastomosis IPAA is a two- or three-stage surgical procedure performed to treat patients with ulcerative colitis UC or familial adenomatous polyposis FAP. Following ileostomy closure and anastomosis, patient goals of care typically include obtaining continence and preventing complications. Nursing interventions to achieve these goals may include developing a skin care regimen, pelvic muscle floor exercises PFME , diet changes, medication use and coping strategies. Research suggests that patient quality of life following surgery is generally good, especially in patients with a functioning pouch or a history of severe UC and a functioning pouch. Ongoing assessments to monitor complications such as pouchitis and pouch stricture are needed, as is research to determine the long-term effects of vaginal delivery and of living into the seventh, eighth, and ninth decades of life. Ileal pouch anal anastomosis IPAA is the standard surgical procedure performed to treat patients affected by ulcerative colitis UC or familial adenomatous polyposis FAP.
Restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) - J-pouch
Total proctocolectomy and ileal - anal pouch Information | Mount Sinai - New York
This is surgery to remove the whole colon large intestine and rectum are removed and an internal pouch, or reservoir, is created using the small intestine to store stools which is connected to the anus. If your inflammatory bowel disease IBD is not responding to other treatments - such as medication - and you have severe inflammation or damage to all, or part, of your large intestine colon and rectum then you may have a proctocolectomy with a J-pouch to reattach your digestive system. You may also have this surgery if your bowel perforates or you have bowel cancer or a very high chance of developing it. The day before your surgery you will likely be asked to take a bowel preparation which will give you diarrhoea to clear the bowel of any faeces to make the operation easier.
After around 30 years of living with ulcerative colitis I took the decision in to have a restorative proctocolectomy with ileal pouch-anal anastomosis IPAA , also known as J-pouch , surgery. In the first of my two operations the surgeon also creates a J-pouch laparoscopically, as well as a temporary ileostomy. The second operation reverses the ileostomy and connects the J-pouch so one can use a toilet again in the normal way. My latest flare started in March and by June it had got progressively worse, to the point where I often had accidents after leaving home.
The largest and longest follow-up study of its kind concludes that, despite reported complications, IPAA remains an excellent option for pediatric patients with UC. Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services Policy.