Restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) Restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) - J-pouch. Related links. Surgery for IBD; and rectum then you may have a proctocolectomy with a J-pouch to reattach your digestive system. Surgery to remove the colon and rectum is called a proctocolectomy. This is the standard surgical procedure for patients with ulcerative colitis where medical therapy has failed or serious life-threatening complications have ensued. Proctocolectomy is followed by either: Ileal Pouch Anal Anastomosis (Restorative Proctocolectomy).
In medicine, the ileal pouch–anal anastomosis (IPAA), also known as an ileo-anal pouch, restorative proctocolectomy, ileal-anal pullthrough, or sometimes referred to as a j-pouch, s-pouch, w-pouch or an internal pouch, is an anastomosis of the ileum to the anus, bypassing the former site of the colon in cases where the colon has been removed. It retains or restores functionality of the anus. 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.
Dec 19, 2017 · Background The ileal pouch-anal anastomosis (IPAA, shown in the image below) is a surgical procedure that is used to restore gastrointestinal continuity after surgical removal of the colon and rectum. Various conditions, including inflammatory states, cancer, or infection, may require the complete surgical removal of the colon and rectum. Apr 01, 2014 · The ultimate goal of the surgeon should be to achieve a total proctocolectomy (TPC) with ileal pouch-anal anastomosis (IPAA), which has become a gold surgical standard for ulcerative colitis.[5,6] In this era of minimal access surgery, this procedure can be performed laparoscopically, with or without using a hand-assist device.
A restorative proctocolectomy with ileal pouch-anal anastomosis (RPC-IPAA) removes the entire colon and rectum while preserving the anal sphincter and, hence, normal bowel function and fecal continence. The pouch serves as an internal pelvic reservoir for intestinal contents. The optimal laparoscopic approach has not been established. Aug 27, 2016 · Restorative proctocolectomy with ileal pouch-anal anastomosis (RP-IPAA) is the gold standard surgical treatment for ulcerative colitis. However, despite the widespread use of RP-IPAA, many aspects of this treatment still remain controversial, such as Cited by: 6.