This surgery is done to treat
ulcerative colitis. The doctor removes all of the
large intestine (colon) and the diseased lining of the rectum. This surgery is also called an ileal pouch-anal anastomosis (IPAA).
In an ileoanal procedure, the lining of the rectum is removed, and the
lower end of the
small intestine (the ileum) is attached to the opening of the anus. The
surgeon makes a pouch from the ileum to hold fecal material (stool). The lower
end of the pouch is attached to the anus. The muscles around the rectum are
left in place, allowing fairly normal bowel movements.
Whenever Serena Ehrlich goes someplace new, she scouts out the location of the bathroom. That's because Ehrlich, 38, a Los Angeles-based salesperson for a commercial wire service, has ulcerative colitis. She developed the disease 12 years ago and has been in remission for the past three. Still, the old habit lingers. "Everyone who has ulcerative colitis will tell you that when you walk into a bookstore, a shop, or a restaurant, that's the one thing you want to know first. It's our rule of thumb."
ileoanal procedure cures ulcerative colitis by removing all the tissue that
the disease could return to.
What To Expect After Surgery
This surgery is sometimes done in two
stages. In the first surgery, the doctor removes the large intestine, makes an
opening in the abdomen, and attaches the ileum to the opening. This is called
an ileostomy. In a second surgery, the pouch is formed and attached to the
opening of the anus. Recovery from each surgery takes 1 to 2 weeks. The two
steps may be done in the same operation if you are not ill at the time of
Cohen JL, et al. (2005). Practice parameters for the surgical treatment of ulcerative colitis. Diseases of the Colon and Rectum, 48(11): 1997-2009. Available online: http://www.fascrs.org/physicians/practice_parameters.
Cima RR, Pemberton JH (2006). Ileostomy, colostomy, and pouches. In M Feldman et al., eds., Sleisenger and Fordtran's Gastrointestinal and Liver Disease, 8th ed., vol. 2, pp.
2549-2561. Philadelphia: Saunders Elsevier.
Waljee A, et al. (2006). Threefold increased risk of
infertility: A meta-analysis of infertility after ileal pouch anal anastomosis
in ulcerative colitis. Gut, 55(11):
Primary Medical Reviewer
Kathleen Romito, MD - Family Medicine
Specialist Medical Reviewer
Arvydas D. Vanagunas, MD - Gastroenterology
October 7, 2010
WebMD Medical Reference from Healthwise
October 07, 2010
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