The ileal pouch-anal anastomosis (IPAA) procedure is done after the colon and lining of the rectum are surgically removed (colectomy). This procedure allows waste to be passed through the anus. A tube (ileal pouch) is made using a portion of the small intestine (ileum) and is connected to the anus (end of the rectum). IPAA is preferred over procedures that result in an opening (stoma) in the abdomen for waste removal (ileostomy). A temporary ileostomy surgery may be done with IPAA to allow the ileal pouch to heal. The ileostomy will be reversed when the ileal pouch has healed.
IPAA is most often performed for patients with inflammatory bowel disease, such as ulcerative colitis or familial polyposis coli. Other …show more content…
o Colonoscopy.
• Follow instructions from your health care provider about eating or drinking restrictions.
• Ask your health care provider about: o Changing or stopping your regular medicines. This is especially important if you are taking diabetes medicines or blood thinners. o Taking medicines such as aspirin and ibuprofen. These medicines can thin your blood. Do not take these medicines before your procedure if your health care provider instructs you not to.
• Do not use tobacco products, including cigarettes, chewing tobacco, or e-cigarettes. If you need help quitting, ask your health care provider.
• Do Kegel exercises as told by your health care provider. These can strengthen the muscles in your anus.
• Take antibacterial showers as told by your health care provider.
• You may be given antibiotic medicine to prevent …show more content…
• You will be given a medicine to make you fall asleep (general anesthetic). You may also be given a medicine to help you relax (sedative).
• Depending on your condition, this procedure may take place in three stages. The stages are:
• Stage 1. The colectomy is performed and the ileal pouch is made. Tissue in the ileum will be cut and removed. These surgical cuts (incisions) will be closed with stitches (sutures) or staples. The tissue will be formed into a J, W, or S shape and attached to the anus. (using stitches?)
• Stage 2. In this stage, an ileostomy surgery is done to give the ileal pouch time to heal. In an ileostomy surgery, part of the ileum is redirected to a stoma in the abdomen, and waste temporarily passes out of the stoma instead of through the anus.
• Stage 3. This is an ileostomy reversal surgery. This will close the stoma and reconnect the ileum with the rest of the intestines. Waste will pass through your ileal pouch and your anus.
AFTER THE PROCEDURE
• You may continue to receive fluids and medicines through an IV tube.
• You will have some pain. You will be given pain medicine.
• You may have a tube (catheter) draining fluids from your