Is J-pouch surgery risky?

Is J-pouch surgery risky?

Risks. J-pouch surgery has a few risks and complications, including ileostomy blockage, dehydration, diarrhea, narrowing of the area between the pouch and the anus (stricture), pouch failure, and infection of the internal pouch (pouchitis). Pouchitis is one of the most common complications of ileoanal anastomosis.

Is J-pouch surgery major surgery?

J-pouch surgery requires more surgery than a stoma. J-pouch surgery involves major surgery, which can cause complications.

How long does J-pouch surgery last?

The second operation is usually less involved and takes less time to perform (1 to 3 hours). The goal of the surgery is to sew or staple the two ends of the small intestine together, closing the ileostomy. In most cases an incision is made around the ileostomy and the operation is done through the ileostomy site.

How long is hospital stay after J-pouch?

All steps of the procedure are performed under general anesthesia and typically result in a 3 to 7 day hospital stay, depending on the number of stages performed and the overall health of the patient.

What causes J-pouch failure?

Reasons for pouch failure include infection, mechanical or functional difficulties, and complications of Crohn disease (CD) when this develops.

What kind of surgery is a j pouch?

What is J-pouch surgery? J-pouch surgery is a common name for a multi-step operation in which a surgeon removes the colon and rectum (both part of the large intestine), and creates a J-shaped pouch to collect waste. The pouch is stitched into place just inside the anus.

Is it possible to remove the colon and create the J pouch?

This is because it is possible to remove the colon and create the J-Pouch only to find that the J-Pouch develops new ulcerative lesions, potentially leaving the patient worse off than when they started treatment.

How is j pouch surgery done for ulcerative colitis?

At CHOP, J-pouch surgery for ulcerative colitis is usually performed in two stages, which includes two distinct operations a few months apart. The first operation is to remove the colon (subtotal colectomy) and create a temporary ileostomy (similar to a colostomy).

When to discharge a child from J pouch surgery?

The decision to discharge the patient to home is based on standard protocols and reaching certain milestones including: Once released, children recovering from J-pouch surgery should rest at home and gradually resume normal activities over 2-3 weeks.