POUCH PROCEDURES

A pouch procedure is where part or all of the large intestine is removed, and the last part of the remaining intestine (or bowel) is folded and sewn into a reservoir that functions like the rectum, holding stool so that it can be emptied all at once, just like normal. Otherwise, the contents would keep draining out through the day.

More typically j-pouches are created for patients with ulcerative colitis over 2 or 3 operations. where the diseased intestine is first removed, leaving a temporary ostomy. This drains the contents, while the remaining intestine and the tissues are allowed to heal.

About 3 months later, the ostomy is taken down and the lower part of the small intestine, known as the ileum, is folded and sewed onto itself to create a larger area, called an ileal or j-pouch (because it looks like the letter J when it is created. That ileal j-pouch functions like a new rectum that is stapled or sewed to the anus.  

Usually those with a pouch have to go to the bathroom more frequently than they used to, but they like it better than having an ostomy or having the symptoms of ulcerative colitis. 

Pouches Aren't For Everyone

Some people don't do well with a pouch:

• People with Crohn's disease may have sores in their pouch which can be very difficult to control.
• Some will get repeated infections or inflammation in the pouch area or around it on the outside skin
• Pouches can make it more difficult to get pregnant or have a baby and men cause have sexual or urinary problems.

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