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In medicine, the ileal pouchanal anastomosis (ipaa), also known as an ileo-anal pouch, restorative proctocolectomy, ileal-anal pullthrough, or sometimes referred to as a j-pouch, s-pouch, w-pouch or an internal pouch, is an anastomosis of the ileum to the anus, bypassing the former site of the colon in cases where the colon has been removed. It retains or restores functionality of the anus, with stools passed under voluntary control of the patient, preventing fecal incontinence and serving as an alternative to ileostomy. The pouch component is a surgically constructed intestinal reservoir usually situated near where the rectum would normally be. It retains or restores functionality of the anus, with stools passed under voluntary control of the patient, preventing fecal incontinence and serving as an alternative to ileostomy. The pouch component is a surgically constructed intestinal reservoir usually situated near where the rectum would normally be. It is formed by folding loops of small intestine (the ileum) back on themselves and stitching or stapling them together. The internal walls are then removed thus forming a reservoir. The reservoir is then stitched or stapled into the perineum where the rectum was. Ileo-anal pouch surgery can be undertaken as a one, two or three stage procedure. The decision is usually based on the severity of the disease in cases of ulcerative colitis and any medications being taken, particularly steroids. Ileo-anal pouch ipaa offers the advantage of avoiding a permanent ostomy by creating a continent fecal reservoir and maintaining bowel continuity. an ileo-anal pouch is an internal pouch that is formed during a surgical procedure and which serves as a reservoir for waste. In a procedure performed on people who have chronic large intestine disease or colon cancer, the pouch is formed from loops of the small intestine. An ileo-anal pouch also is called an ileal pouch-anal anastomosis, ileal-anal pullthrough or j-pouch. The problem is that there is another page with the same abbreviation (ipaa) that is more popular, ileo-analpouch. The abbreviation itself is widely used - a google search of ipaa surgery yields 92,000 results. Granted, there is a link provided on the intellectual property attache act page ipaa redirects here. Stop press zarah perry-woodford will be speaking at the red lion group internal pouch information day at st. In 2016, st marks hospital academic institute proudly announced its first ever book publication ileo-anal pouch surgery for ulcerative colitis a guide for patients, written by zarah perry-woodford, lead nurse pouch. Ileo-anal pouch surgery video this dvd provides information for patients who are considering ileo-anal pouch surgery and helps them to make informed decisions about their treatment. Included is an explanation of the procedure, risks involved, tips and a guide to living with an ileo-anal pouch. In some cases, it may be possible to have a permanent internal ileo-anal pouch, also known as a j pouch, formed instead of an ileostomy. An ileo-anal pouch is created from the ileum and joined to the anus, so waste material passes out of your body in the normal way.