Before, during, and after the operation J-Coch

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anastomosis ilral procedure Prochach-Anastomosis (IPAA), commonly known as the J- procedureThe stock exchange is a complex surgical treatment for serious diseases or injuries,The objective of influencing the thick intestine (colon) of the rejection process must eliminate the tissue from damaged tissue and allow the patient to continue having normal bowel movements, that is, a chair leaves the body through the anus. .Body through the anus in a controlled manner.

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j-The bag of any other name

This procedure, or a group of procedures, has several names, depending on the surgery stage and the country in which it will be executed .In addition to anal anal anal anastomosis, the procedure is also known as <> pouch , ileous anal bag, ileous-anal reservoir (IIAR), internal case, recovery sign, anal-anal length , Toning bag or demolished ileostomy.

Why J-Operation The cover is performed

This procedure is done for two reasons: The large intestine is large and / or damaged and should be Eliminated, and the patient does not want the beauty of the abundance of many colon to be so sick,That his life is destroyed by frequent diarrhea. Often, listening about patients with severe inflammatory intestinal diseases that have 25 or more intestinal movements per day.These patients often can not leave the house due to the fear of having an accident due to their uncontrollable diarrhea, which is often accompanied by pain, and sometimes blood in a chair.

Ileostomy explained

A is a surgical circumference of the large intestine, which is done by separating the end of the intestine slim from the beginning of the colon. .And the remote intersign of the small intestine to the external part of the abdomen. This is done by making a small incision in the stomach and creating an exit for the chair.This section is then covered with an instrument, a special bag with adhesives that allow it to adhere to the skin, and the chair is collected in the bag. .

Many people are not interested in the presence of a long-term perspective.Although it is necessary to move around the colon or eliminate the colon in some cases, patients often want alternatives to the need to use the device.Patients often complain that the device is antiesthetic smell, prevents sexual intimacy, irritating the skin or generally annoying.

Candidates

A rectal surgeon clone will be the final decision on whether the patient is a candidate for the J-Pouch procedure.This decision will be based on many factors, including the following:

  • Total patient health
  • in the thick intestine
  • Severity of the problem
  • You can register a problem with the removal of the colon
  • ,Regardless of whether the risk coprocessor is overcoming the potential advantages of

the state of colon will not be the only factor for whether the patient is a candidate for the operation.A patient who has a strong ulcerative colitis that does not respond to drugs, which is the most common reason for the procedure, may not be a candidate for the operation, because they have a cardiac state that can make the anesthesia too risky,Or your diabetes is too poorly controlled.

In general, it is a candidate for the J-Pouch procedure, the patient must have a severe colon disease or damage.Tramum would have caused surgically damage, such as a firearm in the stomach, which causes significant damage to the colon.The remedy, ulcerative colitis is the most common cause of the procedure, colon cancer is also a common cause of tissue removal.

Family adequate polyposis, a condition that almost always leads to a colon cancer, is also a common cause of j-bouch surgery.This condition generally leads to patients who have polishing polyps intestines at the time they reach their thirty years and the development of colon cancer in decade or two, which should be.The J-Bouch procedure is ideally carried out to the diagnosis of cancer, and not as treatment against cancer. / P>

Processing of known diseases of Crohns , which differs from colitis in the fact of That ulcerative lesions may appear in areas except the colon. With the operation, J-Bouch is contradictory.This is due to the fact that you can eliminate the colon and create a J bag, just to find that J-Bouch develops new ulcerative lesions, which can let the patient worse than when they started the treatment.

Risks

In addition to the standard risks of the operation, including the reaction of on the complications of anesthesia lake-Up, such as pneumonia or blood clots, there are additional risks, which are specific for ileostomy and the procedures of the J. bag. These risks include:

  • bleeding or leaks: The internal and external cutting lines have the potential of leakage or bleeding after the operation.
  • ileous: This is a complication when the intestinal muscle movement (peristalsis) stops after anesthesia. In most cases, this is resolved on days after surgery.
  • Obstruction: This is where the narrowing caused by surgery or another problem avoids the movement of food and stools through the digestive tract.

Procedure

J-Bouch is a small case formed from the end of the small intestine in the form of J, where the stool can wait until time has come by the intestinal movement.As well as a straight intestine that is eliminated during the procedure, the bag j-Muscle Pouch can not only store a chair until you have time for the intestinal movement, but the patient has complete or complete control over the time of intestinal traffic.In many aspects, J-Bouch is a rectum created surgically, which eliminates the need for ileostomy.

The J-Pouch procedure is generally programmed to be carried out in two stages, which means that two separate operations will be performed, often from 2 to 3 months together.As a general rule, the first step consists of the elimination of the colon, the formation of the Ieostomy and the creation of a J-Bag bag. At this time, the small intestine is separated from the colon, so the chair leaves the body through the web site of ileostomy.

During the next few months, the new J bag is allowed to cure and strengthen.As soon as the J bag is healing, and the patient is ready for an additional operation, an additional procedure is carried out, and the chair begins to travel through the small intestine, to the bag J, where it is stored, arrives.Out of the body through the rectum, as was done before these procedures.

This process is two surgery is the most common way to perform the J-Pouch procedure.The procedure can also be performed as a stage surgery, which means that the ileostomy is not performed, the colon and the rectum are eliminated, j-The case is formed and connected to the rectal fence member (a small remaining part of the rectum is only within the anus) in the same procedure.In some cases, surgeons perform surgery in three phases, but are less common, the rejection measures of the procedure are carried out in accordance with general anesthesia and generally lead to staying at the hospital of 3 to 7 days,Depending on the number of stages and the general health of the patient.

These procedures are complex and difficult to really understand without visual funds.For this reason, the base of Crohn and Coolity created videos to clearly explain the J-Pouch procedure.

What to expect after of surgery

after the J-Pouch operation was completed, it can be many months before reaching a new standard For intestinal movements.Normally, after the operation, the J Stock does not necessarily mean, normally, in accordance with the typical standards of the average person, which are: The intestinal movement is controlled (not in the accident), at least one every three days , formed,But not solid and not painful. The usual intestinal movement after the J-Bouch operation is usually a puree of pantie or puree of puree. / P>

After completing the recovery, the average patient experiences five or six intestinal movements monitored per day.

For someone who is experiencing a bloody diarrhea from dozens of a day, it may seem a good improvement, but for those who have regular bowel movements and had a cancer prevention procedure,You can be anxious and made for complex settings.

In general, after completing the recovery, the patient has learned which products and fluids can potentially aggravate the bag J and lead to poorly controlled intestinal movements, patients express satisfaction with the result of the operation.From 10 to 20 percent is dissatisfied with its result and choose ileostomy or other procedure after the J-Pouch procedure.

For most patients, finding adequate foods to eat and avoid, as well as the study, that drugs can help reduce diarrhea, and increase control of intestinal movement,They lead to a general improvement of their previous condition of the disease.

Potential complications

So many potential problems after the J-Coch procedure, fortunately, many of them are processed or prevented easily.The staff of their office surgeons and enteric therapy ‘<>‘ ‘(nurses who specialize in attention on extraction and other wounds) can be significant assistance in recovery.Feel free to discuss any question with these medical professionals, as they probably saw the problem before.

Note that these problems generally improve after surgery, as the patient learns,As your body works after the operation and is completely restored:

  • Power reduction: Frequent diarrhea can completely cause autorexitamins, minerals and calories They are absorbed by the body.Over time, patients who were misinterpreted before surgery are often becoming better, while taking diarrhea.
  • RICTURE: Surgical section areas, including a small intestine, J-Bag and anus, can take a narrowing from abroad.This narrowing can lead to trivialities, difficulties with food or a chair that moves through the digestive tract and difficulties with intestinal movements.
  • Erosion of the skin: A colon function is to absorb an excess acid of the intestinal tract.Sin the colon to perform this function, some patients experience burning instead of their stoma or in the anus, which is generally called rear.This can be prevented by barrier ointment on the skin.
  • Packitis: Package package, this condition can be painful and is generally considered by two drugs: flag and digital.
  • Incontinence: While the goal of J-Fouch is to help the patient’s control, when they move their intestines, some patients experience incontinence during their recovery. This is delayed by the Recovery phase.
  • Diarrhea: Technically speaking, diarrhea – six or more free stools per day, and for some, this level From free stool is better than your previous control level.For others, it is worse than the previous one, but during the few weeks of recovery recovery is an ordinary and expected. In general, this is improved by medications, such as LobSl or InterCinium, as well as changes in the diet.Deta and starchy products, such as potatoes and pasta, can help strengthen the chair. Notify to the current diarrhea of your surgeon.
  • dehdration: Frequent intestinal movements can lead to a <00 dehydration , so diarrhea should be addressed, and liquid consumption increases if it is Present dehydration.The reality of the house in the color of the urine. The dark urine indicates a greater need for liquid, while the transparent urine and almost colorless indicates an adequate hydration. Notify dehydration to your surgeon.
  • Sodium: Sodium can be lost through diarrhea and must be replaced by electrolytic liquids, such as Gatorade or Pedilylyte.The low sodium is generally diagnosed with a laboratory, so make sure that its surgeon is aware of its surgeon if it is detected, has a low sodium.
  • Pelvic abscess: This is an infection pocket that is developed on or near the J-Coch site and It requires medical and potentially surgical treatment.
  • Sexy dysfunction: Erectile dysfunction: A known risk of procedure for men.For women, infertility due to scars around the ovaries is a possible potential complication, since painful communication.
  • Crohn after J-Bouch: The difference between Crohns and colitis is that Crohns’s disease can occur at any point of the digestive tract when Colitis is limited colon.If Crohns lesions appear only to boil thickness to the operation, it can be powered by a manual diagnosed as colitis, only to detect that the defeats later can be found elsewhere after the operation.This can lead to a J-Scayay, who has peptic injuries.
  • Small small: Some people with J-bags find that they can tolerate only a few small dishes, and not three great meals per day.
  • normal problems: The standard problems faced by the majority of people, such as flatulence, tend to be worse with a bag of J. Technics, which generally cause gases, can cause More gases or gases.This requirement that would be before the operation. This is a typical result of the procedure, and may not be allowed after completing the recovery.
  • Next of an extremist: In severe cases, when incontinence incontinence becomes a constant problem, the J Stock Exchange will not be healthy or will not work or the patient is not related,Ileostomy is the treatment of choice.
  • Pregnancy: Pressure of the fetus in the pelvis, where the J-Bouch rest can cause difficulties with intestinal movements and continued.And the Surgeon of the Colon, and the obstetrician, and the obterior, plays a role in the help of a pregnant mother to have the greatest possible control during the first trimester, when this problem is the most significant, and the definition of the best type. of delivery

Word Get Meds information

This procedure is complex and complex, that is,It is done only for patients who are extremely ill or hope to avoid the strong family history of colon cancer.The J-Pouch surgery solution should not be easily taken and should be done only after discovering the surgeon that performs these procedures in the basic routine and after a deep risk discussion and the potential of surgery.

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