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Healthcare: Gastroenterology & Digestive Health
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  1. Baylor College of Medicine
  2. Healthcare
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  4. Gastroenterology and GI Surgery
  5. Colorectal Surgery
  6. Ileal Pouch Reconstruction
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Ileal Pouch Anal Anastomosis (IPAA) Reconstruction after Proctocolectomy

Scott Holmes, CMI
J pouch colorectal stapler

A proctocolectomy is a surgical procedure that removes the large intestine and rectum. This procedure is commonly used to treat ulcerative colitis, Crohn's disease, and familial adenomatous polyposis. It is often done in a minimally invasive fashion which involves the use of small incisions and specialized instruments to complete the procedure. 

The ileal pouch anal anastomosis or J-pouch procedure is typically recommended for people with ulcerative colitis, Crohn's disease, or familial adenomatous polyposis. The procedure is also recommended for people who have had previous surgeries that have failed to alleviate their symptoms. Candidates should be in good overall health and have realistic expectations about the outcome of the procedure.

There are many benefits to having an ileoanal J-pouch procedure. The procedure eliminates the need for a permanent ileostomy and relieves the pain, discomfort, and inflammation associated with ulcerative colitis and Crohn's disease. It also reduces the risk of future colon cancer.

Recovery

Recovery from a J-pouch procedure can take several weeks. During the first few days, patients will be monitored in the hospital. After the initial recovery period, patients will need to follow a special diet to help them adjust to the new pouch. They will also need to follow an exercise plan to help strengthen the abdominal muscles and prevent future complications. Additionally, patients may need to take medications to help reduce inflammation and manage pain.

  • Gastroenterology & Digestive Health
  • Comprehensive GI Care
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    • Center for Advanced Endoscopy
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    • Center for Anorectal Disease
    • Inflammatory Bowel Disease Center
      • About Inflammatory Bowel Disease (IBD)
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      • Inflammatory Bowel Disease and Nutrition
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      • Meet Our Team
    • The Pancreas Clinic
      • Surgery for Pancreas Disorders
    • Hemorrhoid Clinic
  • GI and Hepatology Conditions
    • Gastroesophageal Reflux Disease (GERD)
    • Celiac Disease
    • Crohn's Disease
    • Ulcerative Colitis
    • Hemorrhoids
    • Functional Abdominal Pain
    • Primary Sclerosing Cholangitis
    • Barrett's Esophagus
    • Constipation
  • Diagnostics and Treatment
    • Anal Manometry
    • Endoscopic Submucosal Dissection
    • EUS (Endoscopic Ultrasound)
    • Endoscopic Retrograde Cholangiopancreatography (ERCP)
    • Office Based Procedures
    • MRI and fluoroscopic defecography
  • Colorectal Surgery
    • Colon Resection
    • Benign Disorders
      • Transanal Excision Colectomy (TEC)
    • Colostomy
    • Diverticulectomy
    • Surgery for Inflammatory Bowel Disease
      • Patient Information Guide
    • Gastrectomy
    • Ileal Pouch Reconstruction
    • Ileostomy
    • Laparoscopic Polyp Removal
    • Proctocolectomy
    • Pelvic Floor Health
      • Meet Our Team
    • Presacral Tumor
    • Rectal Prolapse Repair
    • Small Bowel Resection
    • Sphincter-Saving Reconstructive Rectum Removal
    • Meet Our Team
  • Patient Materials and Forms
  • Meet Our Team

Make an Appointment

Call today to schedule an appointment or fill out an online request form. If requested before 2 p.m. you will receive a response today.

Call 832–957–6500 Monday-Friday 8 a.m.-5 p.m.

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