Glossary of Key Terms
Medical terms explained in plain language.
Surgery & Anatomy
- IPAA (Ileal Pouch-Anal Anastomosis): The medical name for J-pouch surgery. The ileum (end of the small intestine) is shaped into a pouch and connected to the anus.
- J-Pouch: The internal reservoir made from your small intestine. Called “J-pouch” because of its J-shape.
- Ileostomy: A temporary opening in the abdomen where stool exits into an external bag. Used while the pouch heals.
- Takedown: The surgery to reverse the temporary ileostomy and activate the pouch.
- Stoma. The small, round opening on the abdomen where the intestine comes through during an ileostomy.
- Anastomosis: A surgical connection between two parts of the intestine.
Conditions
- Ulcerative Colitis (UC): A type of inflammatory bowel disease (IBD) that causes inflammation and ulcers in the colon and rectum.
- FAP (Familial Adenomatous Polyposis): A genetic condition causing hundreds of polyps in the colon that can become cancerous.
- Pouchitis: Inflammation of the J-pouch lining. The most common pouch complication, usually treated with antibiotics.
- Cuffitis: Inflammation of the small strip of rectal tissue left behind during surgery. Similar to a mild flare of colitis.
- Stricture: Narrowing at the connection point between the pouch and anus. May cause difficulty passing stool.
Tests & Treatments
- Pouchoscopy: An endoscopy (camera exam) specifically to look inside the J-pouch. Used to diagnose pouchitis and other issues.
- Biologics: Medications made from living cells that target specific parts of the immune system. Used for stubborn inflammation.
- Probiotics: Beneficial bacteria supplements. Specific formulations studied for pouchitis prevention may help. Ask your gastroenterologist.
- Bowel Obstruction: A blockage that prevents stool from passing through the intestine. Can be caused by scar tissue or food.