J-Pouch J-pouch is a surgery, also known as ileoanal-pouch surgery. The ulcerative colitis or familial adenomatous polyposis patients have to face this operation. The surgery removes the leftover part of the small intestine after the removal of the colon or rectum. The surgery has called j-pouch because the surgeon/doctor picks up the part of the small intestine and folds it, makes the shape of the alphabet J, and connects it to the rectal canal (a duct lies between the rectum and anal). The surgeon attaches the J shaped small intestine with the use of the last part of the small intestine called the ileum. However, the medical terms for these surgeries are total proctocolectomy as it involved amputation of anus, rectum and colon. Usually, infants and children undergo J-pouch surgeries and anal anastomosis. The early age kids or adolescents need the removal of rectum or colon due to the familial inflammatory bowel disease, ulcerative colitis (UC) diseases or adenomatous polyposis.Therefore, a surgery called total proctocolectomy occurs in this age group of children to prevent the malicious transformation that can cause incontinence issues and diseases. What is the Process of J-Pouch Surgery? The simple process of the ileoanal pouch surgery is sewing and dissection through the hands of the surgeon. They use a staple or endorectal mucosectomy technique for hand-sewing of the duct. A little complex method is the use of staples for this operation. However, the j-pouch can reduce the further risks of cancer, dysplasia, and residual mucosal inflammation in the patient. In the staple j-pouch surgery process, surgeons use single or double staples to perform the distal of anorectal mucosa in the anal transition zone. They dissect one to two centimeters of the canal. This is a little higher and complex method of ileoanal anastomosis than hand sewing. In this process, doctors preserve the anal transition zone and it enhances the sensation of the anal duct. Moreover, it improves the ability to differentiate the flatus and feces. It recuperates the functioning of the anal sphincter and overall anal performance. The hand-sewn method of j-pouch surgery is time eating and technically difficult. Therefore, usually, doctors prefer the staple method of anal operation, which is less time consuming and has better outcomes. Apart from the j-pouch pouch surgery, there are S-pouch and K-pouch ileoanal anastomosis. In some cases, it is difficult to perform the j-shape operation in the intestines of the patients; therefore, doctors make S shape or K shape of the rectal canals. Some people have deep narrow pelvis or short mesentery; thus, they need Kock or S surgery. However, the procedure is the same as I mentioned in the above para. How the J-pouch Works? In the above paras, I mentioned in detail the diseases in which a patient needs the j-pouch surgery. However, the j-pouch works as a storage sack and collects the waste material from the intestine. The intestine absorbs nutrients and water from the food. The j-pouch duct allows the patient to pass the movement of the bowel through the natural anal route. Put simply, this method works as a feces bag and avoids permanent ostomy surgery. Who Need J-Pouch Surgery? The following patients need ileoanal anastomosis or j-pouch surgery.
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