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Alternative to a stoma

ostomymalta
Posts: 2
Joined: Jun 2011

What is the medical term for a J pouch or internal pouch surgical operation?
Can a permanent colostomy be reversed to a J pouch?
Can anyone, with a colon cancer do a J pouch, instead of a stoma?
Should I have been asked which of the operation I wanted?

Buckwirth's picture
Buckwirth
Posts: 1272
Joined: Jun 2010

What is the medical term for a J pouch or internal pouch surgical operation?

I have only heard it referred to as J-Pouch.

Can a permanent colostomy be reversed to a J pouch?

Depends. How much Colon was removed? Did they preserve the sphincter? Your age and overall health?

Can anyone, with a colon cancer do a J pouch, instead of a stoma?

No. With a full APR and the removal of the sphincter the only option is a colostomy.

Should I have been asked which of the operation I wanted?

Not knowing your situation, I cannot answer this. I know that I had no other options so I was not offered a choice.

You are in a good place for answers. Many of us have had either a permanent or a temporary ostomy, and there may be some here with the J-Pouch.

Blake

John23
Posts: 1832
Joined: Jan 2007

There are problems with J-pouches, and other types of interior
holding systems that you might want to weigh, before making
any rash decisions.

The UOAA board is dedicated to all ostomy concerns, and
can provide you with answers you can't find elsewhere. The
board is similar to this one; comprised of folks like us that
welcome anyone seeking help or wishing to provide help.
Link: United Ostomy Association of America

Standard procedure for a temporary ostomy, is a stoma and
pouching system. The interior holding systems are complicated
to design, and can produce problems to the patient. If the patient
is being treated with chemotherapy or radiation, or trying to
heal from intensive abdominal surgery, the added problems of
an interior "holding tank" can complicate other problems that
may arise.

Having an ostomy is initially a shock, and can be dismaying.
Eventually an ostomate overcomes the initial problems and
adjusts to the "new me". It's really not as bad as you might
think it is, and can actually be beneficial in many cases where
the intestines have been resected with large sections removed.

Prior to having a stoma placed, time should be taken well ahead
of the operation, to insure the stoma is placed in the most perfect
spot for -you-. Doing that will make your future life with a stoma
much, much easier.

If I had a choice between a J-Pouch or ostomy, I would go with
the ostomy.

Best wishes to you,

John

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