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Ileo-Pouch Anal Anastomosis Guide
Crohn's and Colitis Foundation of America (CCFA)
386 Park Ave South
17th Floor
NY, NY 10016-8804
Phone (800) 932-2423
Web site http://www.ccfa.org
Irritable Bowel Disease Support Group
Phone (323) 865-3150
J-Pouchers Support Group
Phone (323) 865-3150
Traditionally, patients who required removal of their colon and rectum underwent a procedure called an ileostomy. In this operation, the section of the small intestine called the ileum is brought to the surface of the skin through a small opening called a stoma-where a bag is attached. This is an effective operation and has stood the test of time. However, because of its obvious cosmetic and functional disadvantages, alternatives have been developed.
Currently, the ileoanal, or pull-through procedure, is the standard. This operation removes the diseased colon and rectum but preserves the anal sphincter muscles, thereby allowing bowel movements through the anus and avoiding a permanent ileostomy.
This booklet describes all of the steps leading up to, during, and after an ileoanal procedure. It was developed by the physicians, nurses, residents and support staff of the Division of Colon and Rectal Surgery at the Keck School of Medicine of the University of Southern California. It has been developed on the basis of our experiences in the management of hundreds of patients who have had this operation. It is our hope that it will answer any questions or concerns that you may have about ileoanal surgery.
Taking care of patients is our primary concern. It has been a priority and a pleasure for us to prepare this
booklet for you.
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