Here is a small section about the J Pouch or Ileoanal Pouch, that I have sourced around the web. I have put links on my blog roll to the sites that have more information, some can be rather technical.
I’m going to be doing more work on this page, over the next few weeks. Hope to get more up to date information for you. I will also put her my veiws on some of the things Doctors say about living with a Pouch.
This is perhaps the most popular of the surgical procedures. The formation of the J Pouch can be done in 1, 2, or 3 steps, depending on the surgeon and the overall health of the patient.
In step 1, the colon (large intestine) is removed leaving the rectum in place. The end of the small intestine is temporarily brought to the surface of the abdominal wall as an ileostomy. Three to six months later, step 2 is performed.
In step 2, the surgeon will loop together a section of the small intestine and move it down to form a reservoir near your rectum. The rectum is stripped of its mucosal layer before the reservoir/pouch of small intestine is attached. About 3 months later, step 3 is performed.
In step 3, often referred to as your “take down,” your ileostomy stoma is closed and waste now passes on to the reservoir and is expelled through the anus. People report step 3 as the easiest of the 3 surgeries.
ADVANTAGES to this procedure:
* the ability to pass stool “normally,” sitting on the toilet
* no external appliance
DISADVANTAGES to this procedure:
* pouchitis (a serious, painful, common, and sometimes chronic infection of the reservoir)
* frequent bowel movements
* the development of abcesses and fistulae, even if you did not have those problems before surgery
* “Butt Burn” (skin irritation caused by the frequent passing of highly acidic stools)
* strong smelling, loud-passing stools
Q and A
HOW MANY BOWEL MOVEMENTS A DAY CAN I EXPECT?
At first, many people have 10-20 liquid bowel movements a day. But as your body adjusts, ideally, the number should decrease to about 5 or 6 stools a day. You will eventually learn which foods pass through you too quickly or have trouble passing. Also, without the large intestine to solidify the stool, stools will be fairly liquid to soft in texture.
Myself, I empty Pouchie 7 times in a day, sometimes more sometimes less. It all depends on what you eat. So if you eat Pouch friendly foods during the day you movements could be fewer. Having the pint of lager and a curry in the evening, you could be in trouble!
WHAT IS THE USUAL RECOVERY TIME FOLLOWING THIS SURGERY?
Pain subsides considerably after the first 3 days, and most patients begin to withdraw pain meds after a few days at home. Recovery time varies. If you have the entire surgery done in one step, recovery time is the usual recovery time for major surgery, 6-12 weeks. If you have the surgery in three steps, the first step is the hardest and takes the longest to recover from (6-12 wks), but the subsequent surgeries will have a shorter recovery time.
I had a one step operation. Although I was rather sore and swollen, I went back to university 3 weeks after I left hospital. I keep duties light but found walking about and keeping active helped in my recovery.
WILL ANYONE BE ABLE TO TELL I’VE HAD THIS SURGERY?
You can expect a scar from the temporary ileostomy and a larger one from the surgery itself. But other than that, there are no outward signs.
If you want people to know! Most of my friends knew I was ill so knew when I had the operation, as I looked and felt better. My scar has faded and only the line can be seen in certain light. If you were short crop tops, people will see it – simple as.
WILL MY DIET BE LIMITED AT ALL?
You eat a soft diet for the first 2 weeks after surgery, nothing fried, spicy, or heavy roughage. Once your body adjusts, there are no specific food restrictions. You will learn through trial and error which foods may give you trouble. If you were lactose intolerant before surgery, you may still be.