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Jpouch Surgery


Sun, March 05, 2023 3:35 PM

I just had my first surgery out of three stage surgery. How anyone else gone through this or have any experience with the second surgery coming up?

FPO guillermo80
Joined Oct 11, 2016

Mon, May 01, 2023 6:04 PM

Reply posted for guillermo80.

What You Should Know About J-Pouch Surgery

  • This surgical procedure can be performed in up to three stages, but is usually done in two.

  • The first surgery removes your colon and rectum, and preserves your anus and anal sphincter muscles. The ileum is made into a j-shaped pouch and connected to the top of your anal canal.

  • A temporary ileostomy is typically created to give your newly formed pouch a chance to heal. A loop of your small intestine will be pulled through an opening in your abdomen, called a stoma, to allow waste to exit your body into an ostomy bag.

  • During this time, you will need to wear an ostomy bag at all times and it will need to be emptied several times a day.

  • You will have your second surgery eight to 12 weeks later, once the pouch has healed.

  • The second surgery will reverse the temporary ileostomy and reconnect your small intestine. Your internal pouch will then collect waste and allow stool to pass through your anus in a bowel movement.

  • Some surgeons choose to perform this surgery in just one stage, in which the pouch is created and joined to the anus without a temporary ileostomy. This is done less often than the two-stage procedure because of an increased risk of infection.

  • A three-stage procedure may be recommended for patients who are in poor physical health, on high doses of steroids, or if they are required to undergo emergency surgery to repair bleeding or toxic megacolon.

  • In a three-stage procedure, the first surgery removes the colon and creates an ileostomy. In the second surgery, the rectum is

FPO gameofcrohns42
Joined May 11, 2023

Sat, April 08, 2023 8:43 AM

Reply posted for guillermo80.

What You Should Know About J-Pouch Surgery

  • This surgical procedure can be performed in up to three stages, but is usually done in two.

  • The first surgery removes your colon and rectum, and preserves your anus and anal sphincter muscles. The ileum is made into a j-shaped pouch and connected to the top of your anal canal.

  • A temporary ileostomy is typically created to give your newly formed pouch a chance to heal. A loop of your small intestine will be pulled through an opening in your abdomen, called a stoma, to allow waste to exit your body into an ostomy bag.

  • During this time, you will need to wear an ostomy bag at all times and it will need to be emptied several times a day.

  • You will have your second surgery eight to 12 weeks later, once the pouch has healed.

  • The second surgery will reverse the temporary ileostomy and reconnect your small intestine. Your internal pouch will then collect waste and allow stool to pass through your anus in a bowel movement.

  • Some surgeons choose to perform this surgery in just one stage, in which the pouch is created and joined to the anus without a temporary ileostomy. This is done less often than the two-stage procedure because of an increased risk of infection.

  • A three-stage procedure may be recommended for patients who are in poor physical health, on high doses of steroids, or if they are required to undergo emergency surgery to repair bleeding or toxic megacolon.

  • In a three-stage procedure, the first surgery removes the colon and creates an ileostomy. In the second surgery, the rectum is

FPO gameofcrohns42
Joined May 11, 2023

Thu, April 06, 2023 2:59 AM

Reply posted for guillermo80.

This is a great inspiring article. I am pretty much pleased with your good work. You put really very helpful information…

FPO brianwilsonrt
Joined Apr 6, 2023

Mon, March 13, 2023 11:15 PM

Reply posted for guillermo80.

I had my J pouch surgery done in two stages over the course of like six months. It is a tough time, but I tried to find lots of stuff that I could do that did not involve a lot of activity, like I joined some virtual programs and classes. My surgery was open, I do not know if yours was, but working on building and maintaining my abdominal muscles was really important. Right after surgery this mostly looked like sitting on a yoga ball, but physcial therapy really helped me in recovery. I would also recomend massaging the scars so they do not get too stiff. Good luck!

FPO aleahmd
Joined Sep 8, 2022

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