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In medicine, the ileal pouch–anal anastomosis (IPAA), also known as restorative proctocolectomy (RPC), ileal-anal reservoir (IAR), an ileo-anal pouch, ileal-anal pullthrough, or sometimes referred to as a J-pouch, S-pouch, W-pouch, or a pelvic pouch, is an anastomosis of a reservoir pouch made from ileum (small intestine) to the anus, bypassing the former site of the colon in cases where the ...
Proctocolectomy is the surgical removal of the entire colon and rectum from the human body, leaving the patients small intestine disconnected from their anus. [1] It is a major surgery that is performed by colorectal surgeons, however some portions of the surgery, specifically the colectomy (removal of the colon) may be performed by general surgeons. [2]
R. John Nicholls is best known for his work in the development of ileal pouch surgery. With the advancement of ileal-anal pouch surgery , selected patients with ulcerative colitis and familial adenomatous polyposis (FAP) requiring surgery can be treated by removing the diseased colon also known as the large intestine and rectum while preserving ...
The ileo-anal pouch is known by a number of names including the Parks' pouch, S-pouch, W-pouch, J-pouch, restorative proctocolectomy (RPC), pelvic pouch, and ileo pouch-anal anastomosis (IPAA). Parks' ileal-pouch anal anastomosis (IPAA) was an advancement in colorectal surgery building off both the ileum-anal anastomosis from the 1940s and the ...
Kock pouch ileostomy is indicated for patients who are unfit for ileal pouch anal anastomosis (IPAA) because the anus and anal sphincter will be removed during the operation; and patients who develop severe incontinence after IPAA. [1] A Kock pouch need not be created during the initial colectomy surgery. [citation needed]
[1] [11] If the rectum is also removed, it is a total proctocolectomy. Sir William Arbuthnot-Lane was one of the early proponents of the usefulness of total colectomies and was considered a pioneer of colon surgery for routinely performing this procedure. However, his overuse of the procedure called the wisdom of the surgery into question. [25 ...
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People with ileostomies typically use an open-ended (referred to as a "drainable") one- or two-piece pouch that is secured at the lower end with a leakproof clip, or velcro fastener. The alternative is the closed-end pouch that must be thrown away when full. Ordinarily, the pouch must be emptied five to eight times a day.