What is a J-Pouch?

What is a J-Pouch?

A J-pouch as it’s commonly referred to is an ileal pouch anal anastomosis.  This is a type of surgery that is typically done for individuals with Ulcerative Colitis.

What the surgeon does is remove the patient’s colon and creates an internal pouch in the shape of a J (hence J-pouch).  This internal pouch is made from the patient’s small intestine, the ileum, and is connected to the anus.  For this type of surgery, the patient is able to go to the bathroom “like before” but will need to empty their bowels more frequently throughout the day given the colon is now removed.  As with any surgery, there are always risks and potential complications. But, this is something many patients consider because it eliminates the need for an external pouch being worn on the outside of the body.

To learn more about j-pouch and ostomy management, check out our ostomy management certification course .


Jeffrey Despommier, OTR, OMS, CUA, ATP


About the author – Jeffrey is an occupational therapist with over 15 years of rehabilitation experience. He is board certified as a urologic associate and ostomy management specialist.  He also specializes in complex rehab technology and is board certified as an assistive technology professional.

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