Virtually Zero Incontinence with Ileoanal W-Pouch
The ileoanal pouch – sometimes referred to as a J-pouch, S-pouch, W-pouch or an internal pouch – is a procedure that is used to treat inflammatory bowel disease. It involves removal of the colon and reconstruction of the bowel, allowing patients to resume normal bowel function rather than carry the burden of an ileostomy bag.
The surgeon creates an internal reservoir, usually situated where the rectum would normally be. It is formed by folding loops of small intestine (the ileum) back on themselves and stitching or stapling them together. The reservoir is then stitched or stapled into the perineum where the rectum was located.
W-Pouch is Superior
The typical procedure for inflammatory bowel disease (IBD) is to create a J-pouch for waste storage. However, from his extensive experience with surgery for IBD, our medical director for surgery, David DeHaas, MD,
pioneered and perfected a unique W-pouch
that is more effective.
While the J-pouch typically results in 15 to 35 percent incontinence, the W-pouch results in essentially zero incontinence
and better functional results for more freedom and improved quality of life for patients. Ninety-five percent of patients experience relief of symptoms.
The results are enhanced as surgeons turn more to laparoscopic or minimally invasive techniques for this surgery.