Internal intussusception of rectum

What does internal intussuception mean?

im a 23 year old pouched.

Here’s a diagram of what an intussuseption looks like:

These are not common! Part of the gut makes a circumferential inward U-turn, and the next section of gut slides inside. It’s a big deal, and causes blockages and worse. Since almost all of us have had our rectums removed (the rectum is not the anus), that’s not the affected part, but ileum could potentially protrude through the pouch inlet.

This to me looks like an emergency how can food get down?

@AllyKat posted:

This to me looks like an emergency how can food get down?

Sometimes it’s an emergency, but It can slip back out, too.

Thanks Scott for the information and the diagram! That's more information than I got from my surgeon.  I'm not in an emergency situation, thank goodness.  And, my surgeon won't consider surgery until I lose about 50+ lbs! So, it'll be a while before I will be considered a candidate for surgery.  I was hoping someone might have experience with this.  My symptoms are having to manually "push" the pelvic floor back into place after I potty.  (and yes, I have a BM every time I use the potty - about 10-12 per day).  I also have hemorrhoids that are part of the issue too.  Oh the joy 😅

@lclassen posted:

Thanks Scott for the information and the diagram! That's more information than I got from my surgeon.  I'm not in an emergency situation, thank goodness.  And, my surgeon won't consider surgery until I lose about 50+ lbs! So, it'll be a while before I will be considered a candidate for surgery.  I was hoping someone might have experience with this.  My symptoms are having to manually "push" the pelvic floor back into place after I potty.  (and yes, I have a BM every time I use the potty - about 10-12 per day).  I also have hemorrhoids that are part of the issue too.  Oh the joy 😅

This sounds more like a full-thickness prolapse than intussusception.

Scott, I would agree.  The diagnosis is what the surgeon listed on my file.  So, I'm not really sure what to think.  What exactly is prolapse in a J-Pouch? And, do you know what a common treatment plan would be?

A full-thickness J-pouch prolapse occurs when a circumferential part of the pouch protrudes toward or through the anus, inside the pouch portion attached to the rectal cuff. Prolapses commonly interfere with pouch emptying. If it isn't obvious it can generally be diagnosed with a defecogram (a contrast study that images the pouch while pooping). Often prolapses reduce themselves when straining stops, or things can be pushed back manually. If it needs to be treated it's generally handled with surgery to stabilize the pouch.

Thanks Scott.  That sounds very much like my symptoms.  After a physical exam, the surgeon stated that she won't do surgery until I drop the weight.  So, that's gonna take a while 🤔.  Thanks for the help.

@lclassen posted:

Thanks Scott.  That sounds very much like my symptoms.  After a physical exam, the surgeon stated that she won't do surgery until I drop the weight.  So, that's gonna take a while 🤔.  Thanks for the help.

I’d suggest consulting another surgeon for another opinion, unless you have reason to believe that the weight loss will be pretty straightforward. While it’s true that many surgeries are easier and safer when body fat is low (or lower), it’s also true that surgery tends to be needed by people that exist, rather than imaginary future people who weigh less.