J Pouch Surgery (Ileal Pouch-Anal Anastomosis) in Glendale & Los Angeles
J pouch surgery, formally called ileal pouch-anal anastomosis (IPAA), is typically performed after the colon and rectum have been removed — most often for ulcerative colitis or familial adenomatous polyposis (FAP). The surgeon forms a reservoir ("pouch") out of the end of the small intestine and connects it to the anus, allowing many patients to have relatively normal bowel movements without a permanent external ostomy bag.
Treatment Approach
- Often performed in stages, with a temporary ileostomy to allow the new pouch to heal before it is used
- Can frequently be done using minimally invasive (laparoscopic or robotic) techniques
- Requires a period of adjustment afterward as bowel function and frequency change
A Note Worth Reading
Whether J pouch surgery is the right option — versus a permanent ostomy or other approach — depends on the underlying condition, prior surgeries, and individual anatomy. This is a significant decision best made with a surgeon experienced specifically in pouch surgery.
Related Questions
What happens at a first consultation?
A first visit typically includes a review of your symptoms and medical history, relevant prior test results (bring colonoscopy reports, imaging, or pathology if you have them), and a focused physical exam when appropriate. From there, the surgeon will explain what’s likely going on, what (if any) additional testing is needed, and the range of treatment options — from conservative management to procedures or surgery — so you can make an informed decision together.
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This page is general health information, not medical advice, and does not create a doctor-patient relationship. It is not a substitute for an in-person evaluation. If you are experiencing a medical emergency, call 911.
Discuss J Pouch Surgery With Dr. Gregorian
Call the office or send a message to request an appointment with Dr. Armen Gregorian, MD, FACS, FASCRS.