Mayo Clinic's approach


Mayo Clinic pediatric and colon and rectal surgeons work closely with gastroenterologists and other specialists to tailor your treatment and develop a care plan geared toward controlling pain and preventing complications after your 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, compared with those for traditional open surgery. Minimally invasive surgery may include laparoscopy, single-incision laparoscopic surgery (SILS), robotics or transanal approaches. Some children have J-pouch surgery performed though an incision so small that a detectable scar can't be seen.

Pediatric expertise

The Mayo Clinic Inflammatory Bowel Disease Center for Children specializes in diagnosing and treating children with all types of inflammatory bowel disease, including ulcerative colitis. Mayo Clinic offers a variety of specialists dedicated to the unique concerns of children with digestive issues, including pediatric gastroenterologists, pediatric surgeons, pediatric endocrinologists, pediatric nurse practitioners, pediatric mental health specialists and other pediatric specialists as needed.

The Mayo Clinic experience and patient stories

Our patients tell us that the quality of their interactions, our attention to detail and the efficiency of their visits mean health care like they've never experienced. See the stories of satisfied Mayo Clinic patients.

Expertise and rankings


Mayo Clinic pediatric and colorectal surgeons have extensive experience in their field, performing more than 7,000 procedures annually. Each year, Mayo Clinic surgeons perform about 125 J-pouch surgeries.


Researchers at Mayo Clinic are at the forefront of new techniques and procedures to ensure surgical success and prevent infection. Mayo Clinic pediatric and colorectal surgeons pioneered the J-pouch procedure, making it possible for people to continue eliminating waste normally after colorectal surgery.

Surgeons at Mayo Clinic were among the first to introduce hand-assisted laparoscopic colon surgery. Mayo Clinic pediatric surgeons have used and studied single-incision laparoscopic surgery (SILS), performing the J-pouch procedure through only one small incision.

Nationally recognized expertise

Mayo Clinic in Rochester, Minnesota, ranks No. 1 for digestive disorders in the U.S. News & World Report Best Hospitals rankings. Mayo Clinic in Phoenix/Scottsdale, Arizona, and Mayo Clinic in Jacksonville, Florida, are ranked among the Best Hospitals for digestive disorders by U.S. News & World Report. Mayo Clinic Children's Center in Rochester is ranked the No. 1 hospital in Minnesota, and the five-state region of Iowa, Minnesota, North Dakota, South Dakota and Wisconsin, according to U.S. News & World Report's 2023–2024 "Best Children's Hospitals" rankings.

Learn more about Mayo Clinic's Colon and Rectal Surgery and Gastroenterology and Hepatology departments' expertise and rankings.

Mayo Clinic Children's Center

Highly skilled pediatric experts diagnose and treat all types of conditions in children. As a team, we work together to find answers, set goals and develop a treatment plan tailored to your child's needs.

Learn more about the Children's Center.

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.

More information about billing and insurance:

Mayo Clinic in Arizona, Florida and Minnesota

Mayo Clinic Health System

April 14, 2021
  1. J-pouch surgery. Crohn's and Colitis Foundation of America. Accessed Feb. 8, 2021.
  2. Feldman M, et al., eds. Ileostomies, colostomies, pouches, and anastomoses. In: Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 11th ed. Elsevier; 2021. Accessed Feb. 8, 2021.
  3. Yeo CJ. Operative therapy for ulcerative colitis: A minimally invasive approach. In: Shackelford's Surgery of the Alimentary Tract. 8th ed. Philadelphia, Pa.: Elsevier; 2019. Accessed Feb. 8, 2021.
  4. Koike Y, et al. Predictors for pouchitis after ileal pouch-anal anastomosis for pediatric-onset ulcerative colitis. Journal of Surgical Research. 2019;238:72.
  5. Barbara Woodward Lips Patient Education Center. Ileal pouch-anal anastomosis. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2013.
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  7. 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.
  8. Lightner AL, et al. Crohn's disease of the ileoanal pouch. Inflammatory Bowel Disease. 2016;22:1502.
  9. Martinez Ugarte ML, et al. Clostridium difficile infection after restorative proctocolectomy and ileal pouch anal anastomosis for ulcerative colitis. Colorectal Disease. 2016;18:154.
  10. Sahami S, et al. External validation of a prognostic model of preoperative risk factors of failure of restorative proctocolectomy. Colorectal Disease. 2017;19:181.
  11. Khasawneh MA, et al. Impact of BMI on ability to successfully create an IPAA. Diseases of the Colon and Rectum. 2016;59:1034.
  12. 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.
  13. McKenna NP, et al. Ileal-pouch anal anastomosis in pediatric NSQIP: Does a laparoscopic approach reduce complications and length of stay? Journal of Pediatric Surgery. 2019;54:112.
  14. Potter DD Jr (expert opinion). Mayo Clinic, Rochester, Minn. Feb. 25, 2019.
  15. Picco MF (expert opinion). Mayo Clinic, Rochester, Minn. March 13, 2019.

Ileoanal anastomosis (J-pouch) surgery