Best Doctors in India for J-Pouch Surgery

Profile Highlights:

  • Dr. Amitabha Dutta is a highly esteemed Gastroenterology and GI Medicine Specialist with over 30 years of distinguished experience in his field.
  • He practices at Apollo Hospitals Indraprastha in New Delhi, where he offers expert care in diagnosing and treating a wide range of gastrointestinal conditions.
  • He further advanced his qualifications with prestigious fellowships, earning FRCP from The Royal College of Physicians of Ireland in 2014 and FRCP from the Royal College of Physicians, London in 2015

Profile Highlights:

  • Dr. M Tarakeshwari is a well-known gastroenterologist who provides various services to her patients and is an expert in cytokines in IBS, treating Hepatitis B in pregnancy as well as renal failure in Cirrhosis.
  • Some of the services provided by the Dr. M Tarakeshwari are: Acidity Treatment, Gallbladder (Biliary) Stone Treatment, Bladder Cancer Surgery, Inflammatory Bowel Disease (IBD) Treatment Ulcerative Colitis Treatment, etc

Profile Highlights:

  • Dr. Sohan Lal Broor is a Gastroenterologist and has an experience of 54 years in this field. Dr. Broor practices at Indraprastha Apollo Hospitals in New Delhi.
  • He completed MBBS from Panjab University in 1967, MD – Medicine from PGIMER, Chandigarh in 1972, and DM – Gastroenterology from PGIMER, Chandigarh in 1974.
  • Dr. Sohan Lal Broor is a member of the 2-Year Fellowship in Gastroenterology at Medical College Of Wisconsin, Milwaukee, USA.
  • Some of the services provided by Dr. Broor are Irritable Bowel Syndrome ( IBS ) Treatment, Peptic/ Gastric Ulcer Treatment, Inflammatory Bowel Disease (IBD) Treatment, Hemorrhoids Treatment, and Gastritis Treatment.

Profile Highlights:

  • Dr. Revathy Shanmugam is an experienced Gastroenterologist in Tamil Nadu, having an experience of 23 years in the management of GI disorders, Training & Teaching.
  • She is highly skilled in the services like Liver Disease Treatment and Inflammatory Bowel Disease (IBD) Treatment.
  • She has published various scholarly works in many National & International Publications of Medical Gastroenterology.

Profile Highlights:

  • Dr. Hariharan Muthuswamy is a veteran Gastroenterologist and Hepatologist in India with over 32 years of experience.
  • He is currently a Senior Consultant in Gastroenterology at Apollo Hospital, Chennai.
  • Dr. Muthuswamy is proficient in treating patients with Non-Surgical Piles, Liver Disease, Hepatitis E, Hepatitis A and Hepatitis B, Hemorrhoids, Acid Reflux (Heartburn), Amoebiasis, Chronic Pancreatitis, Peptic Ulcers (Sores in the Stomach Lining), etc.

Profile Highlights:

  • Dr. Mohan A T is a veteran GI medicine specialist in India with an experience of 32 years.
  • Dr. Mohan, an alumnus of Madras University, is the Co-Ordinator of the Indian Society of Enteral and Parenteral Nutrition.
  • He is an expert in treating Gastritis, acidity, Ulcerative Colitis, and many other Intestinal and bowel-related Treatments. In addition to these, he offers Colonoscopy, Gastroscopy, and Endoscopy.

Profile Highlights:

  • Dr. Piramanayagam P is one of the young Gastroenterologists in India, having an experience of 15 years in the field.
  • The doctor offer services like Gall Bladder (Biliary) Stone treatment, IBS treatment, Acidity Treatment, Endoscopy, and stomach and intestine dysfunction.
  • He published many review articles and books under his name.

Profile Highlights:

  • Dr. Sarojini Parameswaran is one of the renowned Gastroenterologist with an overall experience of 39 years.
  • Dr. Parameswaran is brilliant and quick with diagnosis. She has 22 years of specialist experience.

Profile Highlights:

  • Dr. Seshadri Venkatesh P is a well-known Gastroenterologist in India, having 24 years of experience in Stomach and Intestine disorders.
  • Dr. Seshadri acquired proficiency in managing Bladder Cancer surgery, hemorrhoids, Irritable Bowel Syndrome (IBS) Treatment, etc.
  • He holds membership in Tamil Nadu Medical Council.

Profile Highlights:

  • Dr. Usha Srinivas is a Gastroenterologist in India with an experience of 40+ years in GI in medicine and academics.
  • Patients visit her for consultation and treatment of abdominal pain, Gall Bladder (Biliary) Stone, Gastroenteritis, Jaundice, Colonoscopy, Steatosis, Constipation Treatment, Hepatitis C Treatment, Hepatitis E Treatment, Hemorrhoids Treatment, Piles Treatment (Non-Surgical), Gastritis Treatment, Ulcerative Colitis Treatment, and others.

Best Hospitals in India for J-Pouch Surgery

Hospital Highlights:

  • Equipped with 650 beds, BLK-Max Super Speciality Hospital is the largest stand-alone private sector hospital in Delhi.
  • With over 1500 healthcare providers and 150 globally renowned super specialists, the hospital is one of Asia’s largest BMT Centres. The hospital is known for having some of the best cancer doctors in the country.
  • The hospital is NABH and NABL accredited and was inaugurated by the first Prime Minister of India. Pt. Jawahar Lal Nehru.

Hospital Highlights:

  • Located in the vibrant city of Hyderabad, Apollo Health City is a world-renowned medical facility that provides outstanding care and treatment to patients coming from different parts of the world.
  • Founded in 1988, this 550-bed multispecialty hospital with 50 specialties and 12 Centres of Excellence continues to deliver outstanding outcomes for patients with the simplest to the most complicated medical conditions.
  • Backed by the latest medical equipment and a dedicated team of professionals, the hospital provides comprehensive treatment across various specialties including, cardiology, critical care, neurosciences, cancer, orthopedics, gynecology, ENT, transplants, gastroenterology, etc.
  • Apollo Health City is a cutting-edge healthcare facility that combines various facilities under one roof. These may include state-of-the-art physical medicine, rehabilitation, and wellness services with education, research, telemedicine, innovative medical devices, disease management programmes, and medical talents.
  • The hospital is known for offering top-notch cancer treatment accompanied by cutting-edge facilities and technology.
  • The hospital also offers a broad spectrum of cosmetic procedures that improve not just appearance but also comfort.
  • In 2011, Apollo Health City was the recipient of the Asian Hospital Management Award (AHMA).
  • In 2013, the Government of India recognized Apollo Health City as the top medical tourism destination in the country.

Hospital Highlights:

  • Kokilaben Dhirubhai Ambani Hospital, Named after the wife of Indian industrialist Dhirubhai Ambani, the founder of Reliance Industries, this is one of the top hospitals in Mumbai. This 750-bed multi-specialty hospital became operational in 2009. Known as one of India’s most advanced tertiary care facilities, the hospital is designed to raise India’s global standing as a healthcare hub, with an emphasis on excellence in clinical services.
  • Kokilaben Dhirubhai Ambani Hospital uses Protocol and Care Pathway based treatment models to ensure the best outcomes for patients.
  • The hospital represents a confluence of top-notch talent, cutting-edge technology, state-of-the-art infrastructure, and, most importantly commitment.
  • The hospital also holds the accreditation of the NABH, NABL, CAP, and JCI.
  • The hospital has been recognized as the No. 1 Multispecialty Hospital in Mumbai and the West Zone for the fifth year in a row in 2020 by The Week.

Hospital Highlights:

  • Apollo Cancer Centre in Teynampet, Chennai is one of the best super speciality hospitals in India. It is the country’s first ISO-certified healthcare facility.
  • Additionally, it is the first hospital in Chennai and the first oncology hospital in India to receive NABH accreditation.
  • The hospital provides advanced tertiary care in oncology, orthopedics, neurology and neurosurgery, head and neck surgery, and reconstructive and plastic surgery.
  • Additionally, it offers specialized healthcare of international standards with results comparable to those of the best hospitals in the world.
  • It is outfitted with 300 beds, the newest and greatest technology, a large pool of highly qualified specialists, and a committed team of medical and paramedical professionals.
  • It is one of the first few medical facilities in India to offer comprehensive cancer care. A team of skilled medical, surgical, and radiation oncologists makes up the Tumour Board, which is a component of the complete treatment planning system. After reviewing reported cases, the Board determines in concert with diagnostic specialists what course of action is best for each individual patient. The panel is further supported by dieticians, medical counselors, speech therapists, and other pertinent specialists.
  • The hospital launched the first ExcelsiusGPS® Spine Robot in South India and has completed over 50 surgeries till date.
  • It is also one of the few cancer hospitals in India to offer Cyber Knife therapy. Till now it has completed 1320 Cyber Knife therapies.
  • The institution is also one of the few in India with the capacity to do transplants and find a prospective unrelated donor. The hospital has performed over 1000 BMTs till now.
  • Furthermore, it has an exceptional milestone of performing exultant Micro vascular free tissue transfer and Aesthetic surgeries on more than 1000 patients with success.

Hospital Highlights:

  • Apollo Hospitals, Chennai, is one of the best hospitals for heart care in India. Over the years, Apollo has expanded all over India, as a healthcare chain.
  • India’s first ‘Only Pancreas’ transplant was performed in Apollo Hospital. The hospital is known for successfully performing Asia’s first en-bloc combined heart and liver transplant, and over the years, it has attained a remarkable achievement in the global healthcare space. Around 3-4 organ transplants are performed in the hospital per day.
  • Equipped with over 500 beds, this hospital in Chennai was established in 1983 and since then has been among the most preferred hospital for patients from all over the world.
  • The hospital holds accreditation of the NABH and JCI and is the first hospital in India to be ISO 9001 and ISO 14001 certified. It is also the first South Indian Hospital to receive subsequent reaccreditation from the JCI USA 4 times.

Hospital Highlights:

  • Established in 1999, Gleneagles Global Hospital, Chennai, is one of the top healthcare facilities in Southern India. It is part of the Gleneagles Hospital Chain, which is the fourth largest healthcare chain in the country. The hospital specializes in multi-organ transplants of kidneys, liver, lungs, heart, etc.
  • The hospital has an excellent infrastructure and state-of-the-art lab and equipment set-up. The hospital boasts cutting-edge technologies, a highly skilled team of doctors and surgeons, and trained support staff. Located in Perumbakam, Chennai, it is one of India’s premier health care destinations. The hospital has performed some of the most complex surgical and clinical procedures in India including multi-organ transplantations.
  • The hospital’s lung transplantation program is one of the best in the country. The hospital is known for having performed India’s first single lung transplant and first minimal invasive lung transplant. It is also the only Indian hospital to be associated with King’s College Hospital, London, United Kingdom for liver transplantations.

Hospital Highlights:

  • KIMS Hospital (a brand name of Krishna Institute of Medical Sciences) is one of the largest and best multi-speciality hospitals in Hyderabad. The hospital provides various treatments to an enormous number of patients.
  • The hospital has a capacity of more than 3000 beds. KIMS Hospitals offers different healthcare services in more than 25 specialities and super specialities.
  • The hospital is equipped with modern medical equipment and technology. It has robotic equipment to provide minimal invasive techniques for patients.
  • The hospital is aimed at providing world-class healthcare facilities and services at an affordable cost for patients.
  • The various specialities and departments of the hospital include neurosciences, gastroenterology & hepatology, robotic science, reproductive sciences, dental science, oncological sciences, organ transplantation, heart and lung transplantation and mother and child care.

Hospital Highlights:

  • Established in 2003, Apollo Gleneagles Hospitals is a 750-bed multispecialty tertiary care hospital situated in Kolkata.
  • With 33 Centres of Excellence and more than 50 specialties, Apollo Gleneagles Hospitals, Kolkata is capable of handling all sorts of patients.
  • This tertiary care hospital, which is a 100% subsidiary of Apollo Hospitals Enterprise Ltd., India, is regarded as one of Kolkata’s top hospitals.
  • The facility is a complete blend of cutting-edge technology, state-of-the-art infrastructure, and genuine hospitality.
  • Focusing on numerous specialties, the hospital provides all-inclusive medical treatments supported by cutting-edge technology and a staff of highly qualified medical specialists.
  • Patients across the globe come to Apollo Gleneagles Hospitals Kolkata for their treatment. Moreover, international patients receive full attention and assistance for their treatment and are provided with a hassle free experience.
  • Apollo Gleneagles Hospitals, Kolkata is the only hospital in Eastern India to hold the Joint Commission International (JCI) certificate.
  • It is also the only hospital in Kolkata to hold the NABL accreditation in six different categories, which includes Clinical Biochemistry, Clinical Pathology, Hematology & Immunohematology, Microbiology & Serology, and Histopathology & Cytopathology.
  • Furthermore, Apollo Gleneagles Hospitals, Kolkata is known for performing the first ever Reverse Shoulder Prosthesis Replacement in East India.

Hospital Highlights:

  • Established in 1991, Manipal Hospital, Old Airport Road, Bangalore is the flagship facility of the Manipal Hospitals Group, which is one of the largest networks of Multispecialty Private Hospitals in India.
  • The facility is well-known for its state-of-the-art technology, performance-driven, patient-centric, and evidence-based approach.
  • The facilities offered at Manipal Hospital meet the highest international standards, allowing the hospital to attract a large number of national and international patients.
  • Their expertise encompasses the diagnosis and treatment of a wide range of diseases in several specializations that address both simple as well as complex medical procedures.
  • There are total 600 beds accessible in the hospital for the in-patients so they may heal while being closely watched after by the medical team. In addition, it has 144 critical care units, including NICUs, ICCUs, and ICUs. Apart from that, the hospital also offers 20 contemporary, modular state-of-the-art operating rooms with all the amenities needed.
  • The hospital has several departments that are overseen by highly skilled, certified, and experienced medical experts.
  • One of the best departments in the hospital is that of the Cancer department which is known for its advanced cancer diagnosis and treatment facilities such as Intracavitary Chemotherapy, Biological Therapy, HIPEC, PIPEC, Nuclear Medicine, Radiation Therapy, etc.
  • It is one of the few hospitals in Bangalore that provides full range of pediatric services, including pediatric emergency services, pediatric gastroenterology, pediatric neurology, pediatric cardiology, pediatric orthopaedics, pediatric allergies, pediatric immunology, and infectious diseases.
  • Furthermore, Manipal Hospital, Old Airport Road, Bangalore is also regarded as one of the best hospitals for bone and spine related disorders.

Hospital Highlights:

  • Established in 2016, Apollo Hospitals, Navi Mumbai is one of Maharashtra’s most advanced multispecialty hospital. This 500-bed hospital provides sophisticated treatments and integrated super specialty services under one roof.
  • The hospital features a cutting-edge infrastructure that houses 13 state-of-the-art operating rooms, advanced laboratory and medical diagnostics, and 120 ultra-modern I.C.U. beds, including N.I.C.U. and P.I.C.U., monitored round the clock by critical care specialists.
  • With 57 specialties and subspecialties, the hospital boasts a team of renowned medical specialists who offer accurate diagnosis and treatment with easy accessibility to their patients.
  • Additionally, the hospital offers highly customized, individualized health check programs that are made to fit each person’s needs in terms of lifestyle.
  • Apollo Hospitals, Navi Mumbai has been accredited by both the National Accreditation Board for Hospitals and Healthcare Providers (NABH) and the Joint Commission International (JCI).
  • Apollo Hospitals Navi Mumbai has been awarded the “Best Practices-International Services Award” at the annual awards for service excellence and operations excellence.

J-Pouch Surgery

Ileonala anastomosis surgery, which is commonly termed as a J-pouch surgery allows you to eliminate waste material normally after your entire large intestine is removed. The procedure involves constructing a J-pouch after your surgeon removes your colon and rectum.

This procedure avoids the need for a permanent opening in the abdomen i.e. stoma for passing any bowel movements.

Purpose

J-Pouch surgery is generally used for treating chronic ulcerative colitis and inherited conditions, like familial adenomatous polyposis, which carries a high risk of colon and rectal cancer.

In some instances, the procedure might be done when medications for treating ulcerative colitis are not successful in controlling the condition. It might also be done if precancerous changes or colon cancer is detected. The surgery is also used for treating colon cancer and rectal cancer.

Preparation

Before the procedure, you should talk with your doctor if you use alcohol, tobacco any other drugs, as these can affect your healing and recovery.

Your healthcare team will examine you before your surgery to mark the ileostomy site. Several factors can affect ileostomy site selection, which includes your natural skin folds, scars, navel, muscles in your abdomen, waistline, hip bone and visibility of the site when you are sitting. It is important to select the location properly so that you can care for the ileostomy after your surgery.

Procedure

During the procedure

J-pouch surgery is generally performed using minimally invasive (laparoscopic) methods. Instead of opening your abdomen with a relatively large incision (open surgery), surgeons usually prefer to create more than one smaller abdominal incision through which surgical instruments can be inserted. Next, your surgeon will also be inserting a laparoscope, which is a long, narrow tube with a camera at the tip.

During the surgery, first, the surgeon will remove your entire colon and rectum, preserving the muscles, sphincter and opening the anus at the end of your rectum.

Then he/she will construct a pouch-shaped like the letter J from the end of the small intestine. It will be attached to the opening at the end of the rectum. Next, for the elimination of waste, a temporary opening will be constructed in the abdominal wall, which is known as an ileostomy.

After around three months of healing, another procedure will be performed by your surgeon for closing the ileostomy, which will allow you to pass stool normally.

After the procedure

You will need to spend a little time in the hospital recovering as well as learning how to care for your ileostomy. You will likely receive pain medication or antibiotics as well.

Your doctor may recommend you to drink lots of fluids, which can be water or electrolyte replacement drinks, for avoiding dehydration as well as the loss of electrolytes. For around six to eight weeks, you will have to avoid certain kinds of foods, which can include raw fruits and vegetables, nuts, popcorn or any such food high in roughage. These kinds of foods can cause irritation in the anal area. If your stool is watery, then it is recommended that you eat certain kinds of foods such as rice, bananas or peanut butter.

For around four to six weeks after the surgery, try to avoid lifting or any kind of strenuous activity.

Results

For the majority of people, children and adults alike, they can see an improvement in their quality of life, after the surgery. However, people who are over 45 years of age might experience more incontinence and may need to go to the bathroom more frequently at night. On average, most of the people who undergo this procedure generally have around six bowel movements a day and one at night. It is estimated that around 90 percent of people who undergo this surgery, can be satisfied with the results.

Though this surgery can’t affect a woman’s ability to have a regular pregnancy and delivery, it might sometimes affect fertility.

Risks and complications

Though J-Pouch surgery is generally successful in treating your ulcerative colitis, sometimes there might be few complications that can require follow-up treatment. If you experience any of these conditions, inform your doctor immediately-

Pouchitis: Inflammation of the pouch can be considered the most common complication of j-pouch surgery and it is known to occur in around 50 percent of patients. It should occur within the first two years and is treatable with antibiotics. Diarrhea, fever, crampy abdominal pain, increased stool frequency, joint pain, and dehydration are the symptoms of this complication.

Small Bowel Obstruction: This is less common, but it can develop due to adhesions, which are fibrous bands that can occur between tissue and organs after your surgery. Around two-thirds of people who develop a small bowel obstruction should be able to be treated with bowel rest, such as not taking food for a few days. However, others might require surgery for removing the blockage. Symptoms of this complication include crampy abdominal pain, inability to pass stool, vomiting, and nausea.

There are few other possible conditions that might also develop post-surgery, which include pelvic abscesses and pouch fistulas.

Pouch failure, which generally occurs only in a tiny percentage of patients, requires surgery for removing the pouch and to create a permanent ileostomy.

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