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Reply to "Connection of j pouch"

In the usual procedure the pouch is attached (stapled) to a short remnant of rectum called a cuff. It should be 1-2 cm long or so. That forms the connection "directly" to the anal canal, with no functional rectum left.

 

There are other procedures with less rectum left behind, but they are generally only done when necessary, because they have a higher complication rate.

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