Ileo-anal pouch

The ileo-anal pouch (from Latin ileum: Hüftdarm, anus: anus, English pouch: bag, pocket) is a surgical procedure in which deposits of a reservoir is a direct connection ( anastomosis ) between the last section of the small intestine ( ileum) and the anus is provided. Applied the technique during the colectomy, as is done for example in ulcerative colitis. Objective of the investment of an ileoanal pouch is the preservation of continence ( voluntary defecation by the natural anus ).

To form a pouch a shaped reservoir is artificially created from loops of small intestine that collects the predominantly liquid intestinal contents of the small intestine and is delaying the drainage directly. There are several ways to make the pouch. The technically simplest system is the so-called J- Pouch, which is a standard procedure today.

Psychosocial aspect

Despite the significant advantage of avoiding a permanent ileostomy output ( ileostomy ) is a Pouch surgery is a serious procedure that has far -reaching consequences and next to the careful indication requires a special experience of the surgeon. To prepare the briefing belongs to the surgeon as well as contact with patients who have already undergone such an operation. A contact is possible through the mediation of the German Crohn's disease / ulcerative colitis Association - guaranteed eV in the corresponding centers - DCCV. In order to make a conscious decision to surgery, one must consider from the outset that the development of the final function of the pouch can last for twelve months.