Proctocolectomy

Proctocolectomy and ileostomy

Proctocolectomy involves the removal of both the large intestineThe section of gut, or gastrointestinal tract, from the stomach to the anus. and the rectum.

As the rectum has been removed, another procedure called an ileostomySurgery that involves bringing part of the small intestine, the ileum, through the abdominal wall. The intestinal contents are collected by a bag worn over the hole, or stoma. is then needed to divert waste matter to the outside of the body. An ileostomySurgery that involves bringing part of the small intestine, the ileum, through the abdominal wall. The intestinal contents are collected by a bag worn over the hole, or stoma. is similar to a colostomySurgery that involves bringing part of the large intestine through the abdominal wall, through an opening called a stoma. Faeces are collected by a bag worn over the hole. in that an opening (stoma) is made in the skin of the lower abdominal wall. In this case, the small intestineThe section of gut, or gastrointestinal tract, from the stomach to the anus. is connected to the abdominal wall so that waste material passes to the outside of the body.

There can be complications following this type of surgery, including blockage of the stoma and retraction of the intestineThe section of gut, or gastrointestinal tract, from the stomach to the anus., which may need another operation to put right. Your surgeon will discuss the possible complications that could happen during and after the surgery.

Proctocolectomy and pouch

This surgery is also known as ileo-pouch anal anastomosis (IPAA), ileo-anal pouch, or restorative proctocolectomy. Proctocolectomy involves the removal of both the large intestineThe section of gut, or gastrointestinal tract, from the stomach to the anus. and the rectum.

In this type of surgery, a new rectum is made out of the last section of the small intestineThe section of gut, or gastrointestinal tract, from the stomach to the anus., which is then joined to the anusThe external opening of the back passage, the rectum., rather than creating a stoma. This pouch (sometimes called a j-pouch) acts as a reservoir for collecting waste. It is connected to the anal sphincter and allows you to pass stools through the anusThe external opening of the back passage, the rectum..

This surgery is gaining popularity as it avoids having to wear a permanent stoma bag, although it is usual to have a temporary ileostomySurgery that involves bringing part of the small intestine, the ileum, through the abdominal wall. The intestinal contents are collected by a bag worn over the hole, or stoma. while healing from the initial surgery.