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.
Restorative proctocolectomy; Ileal-anal resection; Ileal-anal pouch; J-pouch; S-pouch; Pelvic pouch; Ileal-anal pouch; Ileal pouch-anal anastomosis; IPAA; Ileal-anal reservoir surgery
You will receive general anesthesia right before your surgery. This will make you sleep and unable to feel pain.
You may have the procedure in one or two stages:
- Your surgeon will make a surgical cut in your belly. Then your surgeon will remove your large intestine.
- Next your surgeon will remove your rectum. Your anus and anal sphincter (the muscle that opens your anus when you have a bowel movement) will be left in place.
- Then your surgeon will make a pouch out of the last 1 1/2 feet of your small intestine. The pouch is sewn to your anus.
If you have an ileostomy, your surgeon will close it during the last stage of the surgery.