What is an Ileo-Anal Pouch?

From Wikipedia, the free encyclopedia

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 internal reservoir; usually situated where the rectum would normally be. It is formed by folding loops of small intestine (the ileum) back on themselves and stitching or stapling them together. The internal walls are then removed thus forming a reservoir. The reservour is then stitched or stapled into the perineum where the rectum was.

Ileo-anal pouches are constructed for people who have had their large intestine surgically removed due to disease or injury. Diseases and conditions of the large intestine which may require surgical removal include:

  • Crohn's disease
  • Ulcerative colitis
  • Familial adenomatous polyposis
  • Colon cancer
  • Toxic megacolon

There is debate about whether patients suffering from Crohn's disease are suitable candidates for an ileo-anal pouch due to the risk of the disease occurring in the pouch, which could make matters even worse. An alternative to an ileo-anal pouch is an ileostomy.

In some cases where the pouch was formed as a result of colitis, inflammation can return to the pouch in a similar way to the original inflammation in the colon. This is known as pouchitis.

Meet

Our 2017 Information Day took place on Saturday 13 May at St. Mark's Hospital, Harrow.

The event was a great success attended by 54 people (excluding Committee members and Presenters).

Recordings of the presentations will soon be available to view on the web site. 

SAVE THE DATE!

Information Day 2018 will take place at St. Marks Hospiltal Saturday 12 May 2018

For further information please contact

Susan Burrows
Membership secretary
membership@redliongroup.org 

Download the programme for 2017 information day.

Join

Please download a PDF membership application form to join the Red Lion Group.

Talk

Share your experiences of having a pouch or seek support in our online pouch forum.

Watch

Visit our YouTube channel to learn all about pouches.