Restorative proctocolectomy; Ileal-anal resection; Ileal-anal pouch; J-pouch; S-pouch; Pelvic pouch; Ileal-anal pouch; Ileal pouch-anal anastomosis; IPAA; Ileal-anal reservoir surgery
You will be in the hospital for 3 to 7 days. By the second day, you will most likely be able to drink clear liquids. You will be able to add thicker fluids and then soft foods to your diet as your bowel begins to work again.
While you are in the hospital for the first stage of your surgery, you will learn how to care for your ileostomy.
Always tell your health care provider what drugs you are taking, even drugs, supplements, or herbs you bought without a prescription.
Before you have surgery, talk with your provider about the following things:
During the 2 weeks before your surgery:
The day before your surgery:
On the day of your surgery:
Total proctocolectomy and ileal-anal pouch surgery is the removal of the large intestine and most of the rectum. The surgery is done in one or two stages.
You will receive general anesthesia right before your surgery. This will make you sleep and unable to feel pain.
You may have the procedure in one or two stages:
Today some surgeons perform this operation using a camera. This surgery is called laparoscopy. It is done with a few small surgical cuts. Sometimes a larger cut is made so the surgeon can assist by hand. The advantages of this surgery are a faster recovery, less pain, and only a few small cuts.
If you have an ileostomy, your surgeon will close it during the last stage of the surgery.
You will probably have 4 to 8 bowel movements a day after this surgery. You will need to adjust your lifestyle for this.
Most people recover fully. They are able to do most activities they were doing before their surgery. This includes most sports, travel, gardening, hiking, and other outdoor activities, and most types of work.
Risks of anesthesia and surgery in general are:
Risks for this surgery include:
This procedure may be done for:
|Colon and rectal cancer||
|Ileostomy - caring for your stoma||
|Ileostomy - changing your pouch||
|Ileostomy - discharge||
|Ileostomy - what to ask your doctor||
|Ileostomy and your child||
|Ileostomy and your diet||
|Living with your ileostomy||
|Total abdominal colectomy||
|Total colectomy or proctocolectomy - discharge||
|Total proctocolectomy with ileostomy||
|Types of ileostomy||
|Ulcerative colitis - discharge||
Araghizadeh F. Ileostomy, colostomy, and pouches. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 117.
Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Colon and rectum. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 20th ed. Philadelphia, PA: Elsevier; 2017:chap 51.
Review Date: 9/17/2016
Reviewed By: Debra G. Wechter, MD, FACS, general surgery practice specializing in breast cancer, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
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