Gastrointestinal Cancer Surgery
- Anal cancers
- Colon cancers
- Dysplastic polyps
- Familial Adenomatous Polyposis (FAP)
- Gastrointestinal Stromal Tumor (GIST)
- Rectal cancers
Inflammatory Bowel Diseases
(Crohn’s, Ulcerative colitis, & Indeterminate colitis)
- Ileal Pouch-Anal Anastomosis (J-pouch)
- Mucosal proctectomy
- Small bowel resection
- Stoma revision/relocation
- Anal fissure repair
- Anal fistula repair (Fistulotomy)
- Anal sphincter repair (Sphincteroplasty)
- Diverticulitis surgery (Sigmoid colectomy)
- Hemorrhoidectomy Hernia repairs
- Laparoscopic Surgery
- Rectocele repair
Ileal Pouch Anal Anastomosis (J-pouch)
The ileal pouch anal anastomosis, also referred to as the J-Pouch, is a procedure when a reservoir pouch is created from the end of a patient’s small intestine called the ileum, and attached to the rectum. This controls stool passage for patients who have had their diseased colon removed. By preserving the rectum and creating a new storage place for stool, patients are able to maintain control over their bowel habits and can continue to eliminate waste through the anus.
The entire procedure can be performed in one operation, but is usually split into two or three stages. In a two-step procedure, the first operation, or step one, involves removal of the large intestine and lining of the rectum. The patient is given a temporary ileostomy. After a period of eight to to 12 weeks, the second step is performed where the ileostomy is reversed. The temporary ileostomy allows the newly constructed J-Pouch to fully heal without passing waste through it and risking infection.
Laparoscopic surgery is a modern surgical technique that has many advantages. It involves making small keyhole incisions. The procedure is minimally invasive with less pain, smaller incisions and quicker recovery time.
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