The J-pouch has become a standard treatment after a colectomy and ileostomy for colon cancer treatment or prevention, familial polyposis, ulcerative colitis or other serious intestinal ailments, however, a failed J-pouch is somewhat common. Since the J-Pouch is created from the terminus of the small intestine, and then joined to the anal canal to provide for stool passage, there are a number of complications that may occur, during or after the surgery.
After the ileoanal anastomosis surgery (J-pouch) procedure, some patients experience a failed J-pouch due to medical complications, or to lifestyle changes required to maintain it. Fortunately, for these patients, there are options. The most desirable and effective option for many (but not all) former J-pouch patients is the BCIR (Barnett Continent Intestinal Reservoir). This continent ileostomy solution provides an alternative means of elimination control, which is more convenient and less stressful for the right patient population.
The J-pouch works well for many patients after an initial recovery and adjustment period. For many others, however, the J-pouch fails, bringing complications like the following:
BCIR is not right for everyone, for instance, those with active Crohn’s disease affecting the small intestine, must consider a different solution. However, if you’ve had a failed J-pouch, an ileostomy specialist can explain your options and help determine if you’re a good candidate to benefit from a J-pouch alternative.