Completion Proctectomy and Ileal Pouch-Anal Anastomosis, Diverting Loop Ileostomy

  • Benedict C. NwomehEmail author
  • Jeremy G. Fisher
  • Jason Zakko


This chapter describes the surgical procedure for completion proctectomy, ileal pouch-anal anastomosis, diverting loop ileostomy as performed by the following approaches: open and laparoscopic. The text includes an introduction that outlines the indications, risks, alternatives, essential steps, needed equipment, and variations in technique. This is followed by a template operative dictation, which provides the reader with an operative report, such as is found in a patient chart or electronic medical record. A description is provided of the following critical concepts for this procedure: exposure, pelvic dissection, J-pouch creation, anastomosis, and formation of a diverting loop ileostomy.


Pediatric surgery Operative dictation Ulcerative colitis Inflammatory bowel disease Colectomy J-pouch Ileal pouch-anal anastomosis (IPAA) 

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Benedict C. Nwomeh
    • 1
    Email author
  • Jeremy G. Fisher
    • 1
  • Jason Zakko
    • 2
  1. 1.Nationwide Children’s Hospital, Department of Pediatric SurgeryColumbusUSA
  2. 2.Ohio State University Medical Center/Nationwide Children’s Hospital, Department of Pediatric SurgeryColumbusUSA

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