The J- pouch procedure, one of the many colo-rectal surgeries that we offer, is the common name used for the operation of total proctocolectomy with ileoanal pouch anastomosis. This operation removes the entire colon and rectum, and replaces the rectum with a neorectum (a new rectum).
The neorectum is a pouch made from the last portion of the small intestine (the ileum) which is connected to the anus. This connection is called an anastomosis. The J-pouch procedure has been performed in one variation or another for twenty two years.