Skip to main content

Hello everyone. I'm Steve and this is my first post here. Here's a bit of my history. A year and a half ago I was diagnosed with a very rare condition (intestinal lymphangiectasia) which was happening in a large area of my colon and rectum. The lymphatic vessels in that area were bursting and leaking lymph fluid into my abdominal cavity, causing large volume ascites. After a year of being tapped nearly weekly, I had surgery to remove the affected areas of colon and rectum. I was on track to have the remaining part of the colon reconnected to the rectum, but instead ended up having nearly the rest of the colon removed because the ascites returned. It has been over three months since my last surgery and gladly the ascites has not returned and the problem seems to (hopefully) be over for good.

However, I am not fully content with my now permanent colostomy and had been wondering about the possibility of the j-pouch. I have read much about it and it seems like many pouches fail after a certain point for various reasons. I see that a lot of these have to do with issues relating to UC or Crohns, which makes me wonder if someone without those conditions might have a different outcome. I was wondering if there is anyone on here with a j-pouch due to a less common condition. I doubt someone has my specific condition, but I'm still curious. Thank you for your responses.
Original Post
Hi Steve,

Sorry to hear about your situation. It's never easy to have a colectomy, no matter what the reason.

The short answer is yes, pouches can indeed be done for reasons other than IBD or cancer, including FAP, chronic motility issues, severe diverticulitis, and even trauma.

If you want to pursue a j-pouch, the next logical step for you would be to meet with a surgeon to discuss what your options are. It's very possible you are a candidate, however, I would caution that if your entire rectum has already been removed, this would compromise the muscles required for the pouch to function, and therefore a pouch may not be a possibility for you. However, there are other alternatives as well, such as a k-pouch or BCIR (both are forms of continent ileostomy; it's an internal pouch that you drain through a stoma several times a day, but you do not wear an external bag). These could be options for you. There are several people on this forum who have had either BCIR or k-pouch procedures and would be happy to fill you in with more details.

Best of luck to you! Hope you are able to achieve the best possible outcome for you.

Add Reply

Post
Copyright © 2019 The J-Pouch Group. All rights reserved.
×
×
×
×
Link copied to your clipboard.
×