Mayo Clinic's approach

Teamwork

Mayo Clinic colon and rectal surgeons work closely with gastroenterologists and other specialists. The care they plan and deliver is geared toward controlling pain and preventing complications after your surgery.

Experience

Mayo Clinic surgeons have extensive experience. Each year, Mayo Clinic surgeons perform about 150 J-pouch surgeries. Surgeons at Mayo Clinic were among the first to introduce hand-assisted laparoscopic colon surgery.

Advanced technology

Mayo Clinic surgeons use a minimally invasive approach for more than 70 percent of J-pouch surgeries, which usually means smaller incisions and faster recovery, including a shorter hospital stay, than does traditional open surgery. Minimally invasive surgery may include laparoscopy, robotics or transanal approaches.

Research

Mayo specialists are at the forefront of new techniques and procedures to ensure surgical success and prevent infection. You have access to the expertise of Mayo clinician-researchers.

Nationally recognized expertise

Mayo Clinic in Rochester, Minnesota, ranks No. 1 as the best gastroenterology and gastrointestinal (GI) surgery hospital in the U.S. News & World Report Best Hospitals rankings. Mayo Clinic in Phoenix/Scottsdale, Arizona, and Mayo Clinic in Jacksonville, Florida, are nationally ranked in gastroenterology and GI surgery.

Expertise and rankings

Why choose Mayo Clinic for ileoanal anastomosis surgery

  • Advanced technology. Mayo Clinic surgeons use a minimally invasive approach for more than 70 percent of J-pouch surgeries, which usually means smaller incisions and faster recovery, including a shorter hospital stay, than does traditional open surgery. Minimally invasive surgery may include laparoscopy, robotics or transanal approaches.
  • Experience. Mayo Clinic surgeons have extensive experience. Each year, Mayo Clinic surgeons perform about 150 J-pouch surgeries. Surgeons at Mayo Clinic were among the first to introduce hand-assisted laparoscopic colon surgery.
  • Research. Mayo specialists are at the forefront of new techniques and procedures to ensure surgical success and prevent infection. You have access to the expertise of Mayo clinician-researchers.
  • Nationally recognized expertise. Mayo Clinic in Rochester, Minnesota, ranks No. 1 as the best gastroenterology and gastrointestinal (GI) surgery hospital in the U.S. News & World Report Best Hospitals rankings. Mayo Clinic in Phoenix/Scottsdale, Arizona, and Mayo Clinic in Jacksonville, Florida, are nationally ranked in gastroenterology and GI surgery.

Locations, travel and lodging

Mayo Clinic has major campuses in Phoenix and Scottsdale, Arizona; Jacksonville, Florida; and Rochester, Minnesota. The Mayo Clinic Health System has dozens of locations in several states.

For more information on visiting Mayo Clinic, choose your location below:

Costs and insurance

Mayo Clinic works with hundreds of insurance companies and is an in-network provider for millions of people.

In most cases, Mayo Clinic doesn't require a physician referral. Some insurers require referrals, or may have additional requirements for certain medical care. All appointments are prioritized on the basis of medical need.

Learn more about appointments at Mayo Clinic.

Please contact your insurance company to verify medical coverage and to obtain any needed authorization prior to your visit. Often, your insurer's customer service number is printed on the back of your insurance card.

Clinical trials

Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this disease.

Aug. 18, 2017
References
  1. Feldman M, et al. Ileostomy, colostomy, and pouches. In: Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2016. https://www.clinicalkey.com. Accessed Nov. 28, 2016.
  2. Brown AY. Allscripts EPSi. Mayo Clinic, Rochester, Minn. Nov. 3, 2016.
  3. U.S. News best hospitals 2016-2017. U.S. News & World Report. http://health.usnews.com/best-hospitals/area/mn/mayo-clinic-6610451/gastroenterology-and-gi-surgery. Accessed Sept. 6, 2016.
  4. Quinn KP, et al. Pouchitis is a common complication in patients with familial adenomatous polyposis following ileal pouch-anal anastomosis. Clinical Gastroenterology and Hepatology. 2016;14:1296.
  5. Lightner AL, et al. Crohn's disease of the ileoanal pouch. Inflammatory Bowel Disease. 2016;22:1502.
  6. Martinez Ugarte ML, et al. Clostridium difficile infection after restorative proctocolectomy and ileal pouch anal anastomosis for ulcerative colitis. Colorectal Disease. 2016;18:154.
  7. Sahami S, et al. External validation of a prognostic model of preoperative risk factors of failure of restorative proctocolectomy. Colorectal Disease. 2016. Accepted Author Manuscript. doi:10.1111/codi.13414.
  8. Khasawneh MA, et al. Impact of BMI on ability to successfully create an IPAA. Diseases of the Colon and Rectum. 2016;59:1034.
  9. Baek S-J, et al. Safety, feasibility, and short-term outcomes in 588 patients undergoing minimally invasive ileal pouch-anal anastomosis: A single-institution experience. Techniques in Coloproctology. 2016;20:369.
  10. Cima RR, et al. Utility and short-term outcomes of hand-assisted laparoscopic colorectal surgery: A single-institution experience in 1103 patients. Diseases of the Colon & Rectum. 2011;54:1076.
  11. Yeo CJ, ed. Surgery for inflammatory bowel disease. In: Shackelford's Surgery of the Alimentary Tract. 7th ed. Philadelphia, Pa.: Saunders Elsevier; 2013. http://www.clinicalkey.com. Accessed Nov. 28, 2016.
12. Barbara Woodward Lips Patient Education Center. Ileal pouch-anal anastomosis. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2013.

Ileoanal anastomosis (J-pouch) surgery