Pouch surgery, commonly called a J-pouch, or Ileo-anal Pouch Anastomosis (IPAA) involves removal of the entire diseased colon and rectum, with subsequent reconstruction of a new rectum with a loop of small intestine that is folded on itself. It is performed for those with ulcerative colitis or a form of multiple colon polyps called Famillial Adenomatous Polyposis (FAP). It can be performed laparoscopically and often requires a temporary stoma or fecal diversion to allow things to heal.
Most patients experience 6-8 bowel movements per day after this surgery, as the colon has been removed entirely. This surgery requires a motivated patient, but can provide life altering relief to several disease processes.