Frequently observed after a handsewn anastomosis, strictures are commonly located in the (a) pouch inlet, (b) midpouch and (c) pouch-anal anastomosis. J-pouch disorders can be divided into two categories — inflammatory pouch disorders and structural pouch disorders.

2024年6月26日 · Ileoanal anastomosis surgery removes the large intestine and makes a pouch inside the body that allows a person to get rid of stool in the usual way. The surgery (pronounced il-e-o-A-nul uh-nas-tuh-MOE-sis) also is called J-pouch surgery and ileal pouch-anal anastomosis (IPAA) surgery.

The J-pouch is an internal pouch that mimics your original anatomy. It empties itself through your anus as your rectum used to do. When it’s full, you’ll feel the urge to poop and find a bathroom.

Numerous adverse sequelae are associated with J-pouch surgery, including anastomotic leak, stricture, and fistula formation, among other complications. Pouch failure due to structural, inflammatory, or functional complications represents a challenge to both physicians and patients.

In medicine, the ileal pouch–anal anastomosis (IPAA), also known as restorative proctocolectomy (RPC), ileal-anal reservoir (IAR), an ileo-anal pouch, ileal-anal pullthrough, or sometimes referred to as a J-pouch, S-pouch, W-pouch, or a pelvic pouch, is an anastomosis of a reservoir pouch made from ileum (small intestine) to the anus ...

In patients with refractory ulcerative colitis, and a subset of patients with Crohn’s disease, the gold standard surgical treatment is a restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA), commonly referred to as a J-pouch.

2017年11月16日 · The management of pouch strictures ranges from simple EUA and dilatation, endoscopic balloon dilatation and medical therapy to reparative or ablative surgery such as stricturoplasty, proximal diversion and stricture resection with redo pouch formation 12–14 or excision of the pouch.

2014年11月14日 · Endoscopic stenting is an important technique in the armamentarium of the surgeon and gastroenterologist to effectively treat fibrostenotic Crohn’s strictures of the ileoanal pouch and can successfully avoid the need for complex abdominal procedures, pouch takedown, and permanent ileostomy.

J-pouch surgery is a common name for a multi-step operation in which a surgeon removes the colon and rectum (both part of the large intestine), and creates a J-shaped pouch to collect waste. The pouch is stitched into place just inside the anus.

Instead of needing a long-term opening in their abdomen (called a stoma) to remove stool, a J-pouch surgery allows your child to get rid of stool in the usual way. During J-pouch surgery, the surgeon creates a small bowel pouch that acts as the rectum since most of …