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This procedure is often done in 2 stages depending on your own situation.

What happens during ileal pouch anal anastomosis?

Ileal pouch anal anastomosis is performed under general anaesthetic. During the first stage of this procedure your surgeon will remove your large intestine. They will also create a pouch using the end of your small intestine (or ileum).

You may need a temporary ileostomy to allow stool to pass from your small intestine to an opening in your abdomen called a stoma. This will mean faeces will empty from your body into a bag that is emptied or replaced periodically. This procedure will allow the area to heal without the danger of infection.

About 2 months later during a second procedure, your surgeon will then attach the pouch to your anus (back passage). The medical term for joining or connecting tube-like structures in your body is anastomosis. This pouch will now allow you to store stool and pass it as normal through your anus. They will close the opening in your abdomen.

After ileal pouch anal anastomosis

You will be given medication to control any post-operative pain. Be sure and tell one of our healthcare team if you are uncomfortable. Recovery from the first stage surgery can require 5-7 days stay in hospital. Once you begin to pass wind and stool, you can begin to take fluids by mouth. Your diet will by gradually increased over the next few days. A nurse will teach you all about managing your temporary stoma.

Recovery from the second stage of surgery may be shorter based on your own medical condition. You may find your bowel move more frequently.

Follow dietary or activity restrictions. It is important to attend any follow-up hospital visits.

It can take up to 12 months for the frequency of your bowel movements to decrease.

As with any surgical procedure there could be complications including:

  • Bleeding
  • Pain
  • Infection
  • Bruising

Specific complications of ileal pouch anal anastomosis may include:

  • Leaking of the pouch
  • Infection in the pouch (Pouchitis)
  • Obstruction or blockage in your intestine
  • Drainage from the anus

Why not print this treatment page so you can discuss any concerns you have with your consultant?

Find your nearest hospital that provides this treatment

67 Lansdowne Road, Bournemouth, BH1 1RW

01202 291866
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Shenfield Road, Brentwood, CM15 8EH

01277 695695
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Warren Road, Brighton, BN2 6DX

01273 624488
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3 Clifton Hill, Clifton, Bristol, BS8 1BN

0117 906 4870
Overall rating Good

Hatherley Lane, Cheltenham, GL51 6SY

01242 246 500
Overall rating Good

Wrexham Road, Chester, CH4 7QP

01244 680 444
Overall rating Good

78 Broyle Road, Chichester, PO19 6WB

01243 530600
Overall rating Good

Rykneld Road, Derby, DE23 4SN

01332 540100
Overall rating Good

Wonford Road, Exeter, EX2 4UG

01392 262110
Overall rating Good

Stirling Road, Guildford, GU2 7RF

01483 555805
Overall rating Good

Venns Lane, Hereford, HR1 1DF

01432 355 131
Overall rating Good

Foxhall Road, Ipswich, IP4 5SW

01473 279100
Overall rating Good

2 Leighton Street, Leeds, LS1 3EB

01133 882 067
Overall rating Outstanding

Scraptoft Lane, Leicester, LE5 1HY

0116 2769 401
Overall rating Good
Newcastle upon Tyne  

Clayton Road, Newcastle-upon-Tyne, NE2 1JP

0191 281 6131
Overall rating Good
North Staffordshire  

Clayton Road, Newcastle-under-Lyme, ST5 4DB

01782 625431
Overall rating Good

Longden Road, Shrewsbury, SY3 9DP

01743 282628
Overall rating Good

Staplegrove Elm, Taunton, TA2 6AN

01823 286991
Overall rating Good
Tunbridge Wells  

Kingswood Road, Tunbridge Wells, TN2 4UL

01892 531111
Overall rating Good

The Chase, Old Milverton Lane, Leamington Spa, CV32 6RW

01926 436351
Overall rating Good

Winchester Road, Chandlers Ford, Eastleigh, SO53 2DW

02380 266 377
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Wood Road, Tettenhall, Wolverhampton, WV6 8LE

01902 754 177
Overall rating Good

Haxby Road, York, YO31 8TA

01904 715000
Overall rating Good

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