The J Pouch Does Not Reach

  • Deborah S. Keller
  • Richard Cohen
  • Scott R. Steele


Ileal pouch-anal anastomosis (J pouch) has become the standard restorative procedure following total proctocolectomy. Yet, lengthening maneuvers to ensure an adequate tension-free anastomosis are crucial to minimizing complications and ensuring appropriate pouch function. This chapter will discuss what steps to take should the pouch not reach.


IPAA J pouch Length 

Suggested Reading

  1. 1.
    Davis B, Rafferty JF. Technical aspects. In: Steele SR, Maykel JA, Champagne BJ, Orangio GR, editors. Complexities in colorectal surgery. New York: Springer; 2014.Google Scholar
  2. 2.
    Kirat HT, Remzi FH. Technical aspects of ileoanal pouch surgery in patients with ulcerative colitis. Clin Colon Rectal Surg. 2010;23(4):239–47.CrossRefGoogle Scholar
  3. 3.
    Nivatvongs S. Ulcerative colitis. In: Gordon PH, Nivatvongs S, editors. Principles and practice of surgery for the colon, rectum, and anus. 3rd ed. Boca Raton: Taylor and Francis Group; 2007.Google Scholar
  4. 4.
    Uraiqat AA, Byrne CM, Phillips RK. Gaining length in ileal-anal pouch reconstruction: a review. Color Dis. 2007;9(7):657–61.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Deborah S. Keller
    • 1
  • Richard Cohen
    • 2
  • Scott R. Steele
    • 3
    • 4
  1. 1.Department of SurgeryNew York-Presbyterian, Columbia University Medical CenterNew YorkUSA
  2. 2.University College London Hospitals, NHS Foundation Trusts, Department of Surgery and Interventional SciencesLondonUK
  3. 3.Case Western Reserve University School of MedicineClevelandUSA
  4. 4.Department of Colorectal SurgeryCleveland ClinicClevelandUSA

Personalised recommendations