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Ileo anal pouch formation

An operation to restore continence to the bowel, following removal of the colon and rectum.

About

An ileo-anal pouch is formed to allow the small bowel (ileum) to act in a similar way to the rectum (to store faeces). This procedure is an alternative to a permanent ileostomy. The pouch is formed by folding the small bowel back on itself and creating a bag like structure. This is stitched together and attached to the anus.

Need to know

  • What happens icon plus

    The ileo-anal pouch can be formed over a one, two or three stage procedure. Your consultant will determine which operation is most appropriate for you. The first stage involves removing the whole colon, leaving the rectum in place and forming an ileostomy (where the small intestine is diverted through an opening in your tummy). The second stage is when the pouch is formed but to allow it to heal a temporary loop ileostomy is formed. The final operation is when the ileostomy is reversed and natural bowel function is restored via the pouch. It is commonly performed as keyhole surgery but can also be an open procedure (larger cut on the abdomen).
  • How to prepare icon plus

    Your consultant will let you know how best to prepare for this type of surgery.
  • Afterwards icon plus

    After the operation you will have an intravenous drip, which is normally in place for 24 hours. A tube inserted to drain the bladder (catheter) is normally kept in place for two to three days. An abdominal drain (small tube passing through the abdominal wall) is often used, as is a small tube which is passed through the anus into the pouch. These are normally removed after a few days. You will need to remain in hospital for around a week, depending on your recovery rate. Once your bowels start to work again you may find that your bowel motion is very loose and more frequent in nature. This will recover over time.
Consultant in theatres

Our consultants

From complex surgery to straightforward procedures, we provide exceptional care across our network of hospitals, outpatient centres and specialist clinics.

Our facilities

From complex surgery to straightforward procedures, we provide exceptional care across our network of hospitals, outpatient centres and specialist clinics.

  • facility-pgh-hero-579x579

    The Princess Grace Hospital

    42-52 Nottingham Place

    London W1U 5NY

    Appointments 020 7908 8001
    Enquiries 020 3130 6833

  • London Bridge Hospital Facility

    London Bridge Hospital

    27 Tooley Street

    London

    SE1 2PR

    Appointments and Enquiries 020 7234 2009
    Imaging Appointments. 020 7234 2773
    Switchboard 020 7407 3100

Request an appointment

We're happy to help you make an appointment with one of our experienced consultants.

This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.
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