Best Doctors in India for J-Pouch Surgery
Best Hospitals in India for J-Pouch Surgery
- City: Bengaluru, India
Hospital Highlights:
- Fortis Hospital Bannerghatta, Bengaluru was established in 2006.
- The hospital is a 276 bedded multi-specialty tertiary care facility.
- The hospital specializes in cutting-edge medical technology and dedicated patient care services.
- The hospital is equipped with state-of-the-art technologies like trans-radial angioplasty, trans-abdominal cardiac surgery, and computerized TKR navigation surgery.
- The hospital provides specialty medical services in cardiology, cardiac surgery, orthopedics, neurology, neuro-surgery, GI, and Minimal Access Surgery (MAS).
- City: Chennai, India
Hospital Highlights:
- Fortis Malar was established in 1992 and was formerly known as Malar Hospital.
- The hospital specializes in cutting-edge medical technology and dedicated patient care services.
- The hospital is multi-specialty, tertiary care facility with 180 beds.
- The hospital offers comprehensive medical care in specialties such as cardiology, cardio-thoracic surgery, neurology, neurosurgery, orthopedics, nephrology, gynecology, gastroenterology, urology, pediatrics, and diabetes.
- City: New Delhi, India
Hospital Highlights:
- Established in 1996, Pushpawati Singhania Research Institute is one of the top hospitals in the NCR region, as well as one of the top facilities in India for gastroenterology. The hospital is one of South Asia’s first institutes in medical and surgical treatment for diseases related to digestion.
- The hospital is equipped with state-of-the art facilities coupled with the latest equipment as well as renowned consultants from various parts of India as well as other parts of the world.
- City: New Delhi, India
Hospital Highlights:
- State-of-the-art technology and devoted healthcare professionals have been brought together under one roof at Venkateshwar Hospital to provide genuine medical care. The hospital’s professionals work together as a team to deliver the best possible treatment to their patients, using the most sophisticated equipment and information technology.
- Venkateshwar Hospital’s mission is to attain global excellence in healthcare by employing evidence-based, ethical clinical practices and cutting-edge technology by a team of highly skilled experts.
- City: New Delhi, India
Hospital Highlights:
- Sir Ganga Ram Hospital, New Delhi is known to provide the latest medical procedures with the latest technology in all of its units.
- The hospital has a team of reputed doctors, nurses, and healthcare professionals that ensure that patients receive quality care at affordable costs.
- Staffed with a team of highly qualified doctors, dedicated nurses, and paramedical and non-medical staff, the hospital aims to lead in healthcare delivery, medical education, training, and research.
- As per the vision of the founder, the hospital also provides free treatment to the economically weaker sections of society.
- Sir Ganga Ram Hospital also provides training to young doctors under the Diplomate in National Board(DNB) program. The DNB program at the hospital was started in 1984 and it is known for currently running the maximum number of DNB specialties in the country. It also has the distinction of having the first bone bank in India.
- City: Kerala, India
Hospital Highlights:
- Established in 2019, Apollo Adlux Hospital is the first Apollo Hospital in Kerala and the 73rd hospital owned by Apollo Group in India. With the state’s most advanced, comprehensive healthcare infrastructure and cutting-edge technologies, Apollo Adlux Hospital stands as an example of medical excellence in Kerala.
- With over 34 multi-specialty departments, the hospital believes in providing the best quality treatment to its patients at affordable rates, ensuring comfort at their difficult times.
- The 300-bed hospital is managed by a team of highly qualified and experienced experts who delivers exceptional hospitality to their patients and treats them with great compassion.
- With its affiliation with the Apollo Hospitals Group, the hospital aims in providing patients with top-notch healthcare services while also serving communities in Kerala.
- The hospital has good railway and road connections, and is conveniently close to Cochin International Airport.
- City: Gurugram, India
Hospital Highlights:
- Situated near DLF Cyber City, Gurugram, Narayana Superspecialty Hospital is one of the top medical facilities in the Delhi NCR region, catering to the needs of the people. Known for its commitment to quality medical care and patient service, the hospital is a state-of-the-art facility with planned and well-equipped sections, which includes a spacious OPD area as well as comfortable patient rooms.
- It is the closest super-specialty hospital from Indira Gandhi International Airport towards Gurugram, and also the nearest super specialty hospital from DLF Cyber City. It is also close to major residential areas in Gurugram.
- It is part of the renowned Narayana Health Group. Established in 2000, by Dr. Devi Shetty, a renowned cardiac surgeon, it has grown to be one fo India’s leading healthcare groups.
- City: Noida, India
Hospital Highlights:
- Fortis Hospital, Noida, stands as one of the oldest and most trusted healthcare institutions in the region, setting a benchmark for comprehensive medical care.
- As the second mega hub hospital in the Fortis Healthcare Group, Fortis Hospital, Noida, upholds a legacy of trust among more than 1.2 million patients. By integrating top-tier professionals with cutting-edge technology, the hospital delivers superior treatment across various medical disciplines.
- Specializing in advanced Neurosciences, Orthopedics, Kidney and Liver Transplant Programmes, Fortis Hospital, Noida has successfully performed over 1,500 transplants, solidifying its reputation as a leader in specialized medical interventions.
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.