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Colon pocket

by Sugarbutt, Oct 24, 2008 07:15PM
My husband had a colostomy (almost an ileostomy) for approximately 7 months before the colon/rectar surgeon he was referred to was able to reverse it with no promises that the reversal would be permanent.  The bowel resection performed by a general surgeon had gone bad, leaking fecal matter into his abdomen and causing everything to fuse to his spine.  Due to the additional damage to his col\on and rectum, the surgeon only had about 4 inches of colon left to attach directly to the anal sphincter.  It has been our understanding that this is referred to as an internal colostomy since the remaining colon was turned into a pocket to collect fecal matter in lieu of a rectum.  Is this correct?  If this isn't correct, can you furnish the proper medical terminology for this particular procedure?.
Member Comments (1)

by jewelzz, Oct 24, 2008 08:05PM
To: Sugarbutt
I found this info from Google: (If it doesn't answer your question, try to search it on the web) One operation that is becoming increasingly popular is the Pelvic Pouch or Ileo-Anal Pull-Through commonly referred to as the J Pouch, S Pouch or W Pouch depending on where the stoma is located in the intestine. This type of ostomy does not require an external stoma and bag and only certain people are candidates for it. An internal pouch is constructed from the rectum allowing waste products to gather there before being expelled in the normal manner although bowel movements will probably be more frequent and watery than usual. If your rectum is too diseased and the anal sphincter muscle has to be removed (as mine was) then you are not a candidate for this procedure. This is because the anal sphincter muscle is required to make the J Pouch work.
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