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The ileal pouch anal anastomosis (ipaa) is a one- to three-stage operation that is indicated for patients with ulcerative colitis or familial adenomatous polyposis. In this operation, the colon and rectum are removed, but the anal sphincters are preserved. In medicine, the ileal pouchanal anastomosis (ipaa), also known as an ileo-anal pouch, restorative proctocolectomy, ileal-anal pullthrough, or sometimes referred to as a j-pouch, s-pouch, w-pouch or an internal pouch, is an anastomosis of the ileum to the anus, bypassing the former site of the colon in cases where the colon has been removed. Ileal pouch anal anastomosis is performed under general anaesthetic. During the first stage of this procedure your surgeon will remove your large intestine. They will also create a pouch using the end of your small intestine (or ileum). Ileal pouch-anal anastomosis tracy hull perioperative considerations construction of the j and s pouch a total proctocolectomy and ileal pelvic pouch has become the gold-standard operation for ulcerative colitis (uc) and familial polyposis (fap) requiring surgical intervention. It is also offered to select patients with crohn colitis (cc) without small bowel or anal disease. Ileal pouch-anal anastomosis (ipaa), also referred to as a j-pouch procedure, is a colorectal surgery technique performed in patients undergoing proctocolectomy or proctectomy, where a reservoir (neorectum) is made with a segment of distal ileum just before its anastomosis with the anal canal. Variations of the technique using a w-pouch or s-pouch have been largely discontinued. Utsunomiya j, iwama t, imajo m, matsuo s, sawai s, yaegashi k, hirayama r. Total colectomy, mucosal proctectomy, and ileoanal anastomosis. Taylor bm, cranley b, kelly ka, phillips sf, beart rw, jr, dozois rr. A clinico-physiological comparison of ileal pouch-anal and straight ileoanal anastomoses. Between august 1982 and november 1985, 100 patients underwent ileal j pouch-anal anastomosis (ipaa) at the university of utah. All operations were performed in a standard fashion by a single surgeon. One hundred eighty-eight patients undergoing abdominal colectomy with distal mucosal proctectomy and endorectal ileal pouch-anal anastomosis were reviewed to assess long-term functional results and to identify factors that might. Ileal j-pouch--anal anastomosis, sexual dysfunction, and fertility. Of surgery, tampere university hospital and medical school, university of tampere, finland.