Colostomy, Ileostomy & Rectal Pouch Diet | The Oregon Clinic
Your doctor will ask questions about your condition and perform a physical exam that usually includes a visual inspection of your anus. A probe may be used to examine this area for nerve damage. Normally, this touching causes your anal sphincter to contract and your anus to pucker. Our caring team of Mayo Clinic experts can help you with your fecal incontinence-related health concerns Start Here. What you eat and drink affects the consistency of your stools.
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. It retains or restores functionality of the anus, with stools passed under voluntary control of the patient, preventing fecal incontinence and serving as an alternative to ileostomy. The pouch component is a surgically constructed intestinal reservoir; usually situated near where the rectum would normally be. It is formed by folding loops of small intestine the ileum back on themselves and stitching or stapling them together. The internal walls are then removed thus forming a reservoir.
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. You will receive general anesthesia before your surgery.