J-Pouch: What is it?

J-Pouch: What is it?

J-Pouches are J-shaped reservoir pouches constructed of leftover small intestine after colon and rectum removal due to ulcerative colitis or hereditary conditions like FAP (familial adenomatous polyposis) wherein a surgeon folds the small intestine upon itself, giving it the shape of a J, and attaches it to the rectal (anal) canal. This surgical procedure uses the third and final part of the small intestine called the ileum. Technical names for these procedure are ‘total proctocolectomy’ (removal of colon, rectum and anus) and ‘ileoanal anastomosis’ (the actual creation of the J-pouch).

How does the J-Pouch work?

The pouch serves as a storage for waste matter evacuated from the intestines (bowels).

The bowels are the organs responsible for absorbing all the nutrients and water we eat and drink and also serves as a waste disposal system.

The J-Pouch stores the waste matter evacuated, letting the patient pass bowel movements successfully through the usual anal route.

In so many words, it works as a stool pouch, eliminating the need for a permanent ostomy procedure.

Who can be a possible candidate for a J-Pouch?

  • Chronic ulcerative colitis patients.

  • Those for whom medical therapy has failed to control their symptoms.

  • Familial Adenomatous Polyposis (FAP) patients, because FAP is an inherited disorder characterized by cancer of the large intestine (colon) and rectum.

What Are The Benefits Of a J-Pouch?

  • A J-Pouch eliminates the need for a permanent ostomy which would require the use of stoma pouches. Since you will not need to spend on ostomy supplies, this will let you save money.

  • Provides psychological and emotional relief by allowing you to maintain control of bowel movements since your J-pouch will hold the content for you until you are ready to release.

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