The ileal pouch provides a reservoir for fecal storage. Typically, the operation is preformed in two stages. In the first stage a temporary ileostomy is created. After a period of time the ileostomy is removed in order to direct the intestinal stream during the healing of the ileoanal pouch. Alternatively some medical centers favor a single stage procedure where no temporary ileostomy is used.
All operations involve removal of all or most of the colon.
After a complete discussion of these operations, the patient and surgeon together can decide which one is best. WITH FAP 1. Complete physical exam every year 2. Stool blood testing every year 3. Upper endoscopy at least every 4 years 4a.