What is Ileorectal anastomosis?

Ileorectal anastomosis (IRA) or ileorectostomy refers to the connection of terminal ileum to rectum following extirpation of the colon by total abdominal colectomy.

What is Pouchitis?

Pouchitis is inflammation that occurs in the lining of a pouch created during surgery to treat ulcerative colitis or certain other diseases.

What does j-pouch stand for?

A proctocolectomy with ileal pouch-anal anastomosis, or j-pouch surgery, is the most common surgical procedure recommended for ulcerative colitis patients when medications fail to control their symptoms. This surgery involves constructing an ileal pouch anal-anastomosis (IPAA) or j-pouch.

What is a proctocolectomy with ileostomy?

Total proctocolectomy with ileostomy is surgery to remove all of the colon (large intestine) and rectum.

What is the medical term for anastomosis of the ileum?

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.

Is there an alternative to ileorectal anastomosis ( IRA )?

However, ileorectal anastomosis (IRA) as an alternative has, recently experienced a revival. This study from a single center compares the clinical outcomes of these procedures. Methods: From 1992 to 2006, 253 patients consecutively underwent either IRA (n=105) or IPAA (n=148).

What are the risks of ileoanal anastomosis surgery?

Ileoanal anastomosis is also sometimes used to treat colon cancer and rectal cancer. J-pouch surgery has a few risks and complications, including ileostomy blockage, dehydration, diarrhea, narrowing of the area between the pouch and the anus (stricture), pouch failure, and infection of the internal pouch (pouchitis).

How is a colectomy with ileorectal anastomosis performed?

Surgical instruments are inserted through the other incisions and the colon is pulled through one of the ports and operated on externally, before being reinserted. This type of surgery is meant to result in a quicker recovery time for the patient and also less scarring.