Risks of J Pouch Surgery

ShainyMember

Hello all

I had stage 1 of 3 in December 2013

I am planning on having stage 2 in May this year. (removal of rectum, creation of J pouch and loop ileostomy).

the surgery will be performed laparoscopicly

apparently the resection specimen of my colon yielded clear evidence of acute severe UC.

anyway the surgeon is from a top hospital and has a good reputation

however he has 'advised' me of the risks, in particular, there is a 5% risk of anastomotic leak based on his own series of laparoscopic ileoanl pouch surgery and there is a 10% risk of major morbidity. Also a 10% risk of long term pouch failure at 10 to 15 yeras

I am aware of the risks, but are these %'s standard across the board?

3/20/144:27 AM

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Jan DollarModerator, RN, retired

Looks typical to me. Do think they seem high?

Jan

3/20/1411:34 AM

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TE MarieMember

morbidity at 10% sounds way high, 1 in 10?

I'm guessing the pouch failures encompasses all causes like cuffitis, pouchitis and every other reason?

Added up = 25% meaning there's just a 75% success rate

I'm glad the booklet I was given explaining the potential problems with the surgeries didn't contain these figures!

3/21/142:49 AM

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ShainyMember

I think major morbidity is a complication with the surgery, but not necessarily a pouch failure?

3/21/143:41 AM

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Jan DollarModerator, RN, retired

Yes, morbidity is just a general term meaning illness or disease. It does not mean or imply failure. Morbidity can be a temporary state and complications after this surgery are fairly common.

Also, you do not add all those up, as morbidity is not linear like that. There are overlaps and often, the same people get most of the complications. So, the morbidity rate is 10% of the group overall, not each complication added together.

Jan

3/21/1411:33 AM

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TE MarieMember

Thanks for clearing that up ladies!

3/21/149:14 PM

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