- Ileal Pouch-Anal Anastomosis (IPAA)
Also known as J-pouch or Internal Pouch. It came about in the late 70’s. It constituted a major advance in colon surgery managing to eradicate the prevailing use for a permanent ileostomy. The ileal pouch-anal anastomosis is widely considered the preferred option in proctocolectomy cases. The procedure consists in creating a pouch with two loops, usually forming a J, with the distal section of small intestine. The pouch holds about 2 pints of secretions and is re-attached to the annal cannal and fecal continuity is regained. The IPAA may be conducted in one or two stages. In the former, the process just described occurs in one session. In the latter, the pouch is left to heal for about two months, and a temporary ileostomy is performed. During that time the patient must wear an ostomy bag to manage effluent. Subsequently, a second surgery takes place and the ileostomy is reversed. The proximal ileum that made up the stoma is anastomosed to the J pouch created in the first stage and full gastrointestinal function is reestablished. After the procedure, the patient gains sphincter control back and can evacuate without an ostomy appliance. Bathroom runs will increase to about 4-6 times daily, but will not create conflict with a normal routine and an active social life. Conditions that lead to an IPAA include ulcerative colitis, familial adenomatous polyposis, and hereditary non-polyposis colorectal cancer.
- Ileal Conduit
The ileal conduit is the main type of urostomy. It is generally performed as a result of bladder cancer. It was first practiced early in the 20th century and remains the best urinary diversion method available. In an ileal conduit the two ureters are adjoined to the end of a small section of ileum. The ileum becomes the conduit for the two ureters and urine is diverted through a urostomy practiced on the abdomen. All urine then flows into an urostomy bag that must be worn at all times. Additional urostomy topics.
A surgical passage through the abdominal wall, by which a segment of ileum is brought through an ostomy created on the surface. The terminal portion of the ileum which is sutured around the ostomy is called the stoma. At that point, fecal matters flows from the stoma into an ileostomy bag. An ileostomy is conducted when undergoing a full colectomy. It becomes permanent when the rectum and annal canal are compromised. Additional Ileostomy Information.
- Inflammatory Bowel Disease (IBD)
Chronic conditions of the gastrointestinal tract that can cause extreme pain an extenuating circumstances. Sometimes the only solution is an ostomy surgery. Ulcerative Colitis and Crohn’s Disease are IBD’s.