Healthcare: Gastroenterology & Digestive Health

Ileal Pouch Anal Anastomosis (IPAA) Reconstruction after Proctocolectomy


A proctocolectomy is a surgical procedure that removes the large intestine and rectum. This procedure is commonly used to treat ulcerative colitis, Crohn's disease, and familial adenomatous polyposis. It is often done in a minimally invasive fashion which involves the use of small incisions and specialized instruments to complete the procedure. 

The ileal pouch anal anastomosis or J-pouch procedure is typically recommended for people with ulcerative colitis, Crohn's disease, or familial adenomatous polyposis. The procedure is also recommended for people who have had previous surgeries that have failed to alleviate their symptoms. Candidates should be in good overall health and have realistic expectations about the outcome of the procedure.

There are many benefits to having an ileoanal J-pouch procedure. The procedure eliminates the need for a permanent ileostomy and relieves the pain, discomfort, and inflammation associated with ulcerative colitis and Crohn's disease. It also reduces the risk of future colon cancer.




Recovery from a J-pouch procedure can take several weeks. During the first few days, patients will be monitored in the hospital. After the initial recovery period, patients will need to follow a special diet to help them adjust to the new pouch. They will also need to follow an exercise plan to help strengthen the abdominal muscles and prevent future complications. Additionally, patients may need to take medications to help reduce inflammation and manage pain.