Ileal Pouch Anal Anastomosis Treatment in India
About Ileal Pouch Anal Anastomosis
Key Highlights
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Eliminates the need for a permanent ileostomy and external stoma bag.Preserves natural bowel function and continence via the anus.Significantly improves quality of life for patients with severe UC or FAP.Removes the diseased colon, eliminating the risk of colon cancer in FAP and reducing it in UC.Restorative procedure that allows for near-normal digestion and absorption.
Who is this surgery for?
- Chronic, severe Ulcerative Colitis not responsive to medical therapy.
- Ulcerative Colitis with complications like toxic megacolon, severe bleeding, or perforation.
- Familial Adenomatous Polyposis (FAP) to prevent inevitable colon cancer.
- Dysplasia (pre-cancerous changes) or cancer found in the setting of Ulcerative Colitis.
- Significantly impaired quality of life due to debilitating UC symptoms.
How to prepare
- Complete medical evaluation including colonoscopy and imaging (CT/MRI) to assess disease extent.
- Nutritional optimization; some patients may require dietary supplements.
- Discontinuation of certain medications (e.g., blood thinners, immunosuppressants) as advised.
- Bowel preparation (clear liquid diet and laxatives) to empty the colon before surgery.
- Pre-operative counseling with the surgeon and possibly an ostomy nurse to discuss the procedure and stoma care (if a temporary one is planned).
- Informed consent process detailing the risks, benefits, and stages of the surgery.
Risks & possible complications
- Pouchitis: Inflammation of the newly created ileal pouch (common but usually treatable).
- Anastomotic leak: A leak from the surgical connection, which may require further intervention.
- Bowel obstruction due to scar tissue (adhesions).
- Infection, including pelvic abscess or surgical site infection.
- Increased stool frequency (6-8 times daily is common) and occasional night-time seepage.
- Infertility in women due to pelvic scar tissue formation.
- Risks associated with major abdominal surgery, such as blood clots, bleeding, and anesthesia complications.
Recovery & hospital stay
- Hospital Stay: Initial stay of 5-10 days post-surgery, with a temporary ileostomy often in place.
- Initial Phase: Focus on pain management, wound care, and learning to manage the temporary stoma if present.
- Diet: Gradual transition from liquids to low-fiber, easily digestible foods over several weeks.
- Second Surgery: If performed in two stages, the temporary ileostomy is reversed in a second, smaller operation 2-3 months later.
- Long-term: After pouch is in use, patients adapt to new bowel habits. Regular follow-ups are essential to monitor for pouchitis or other issues.
- Activity: Avoid heavy lifting and strenuous activity for 6-8 weeks; gradual return to normal activities.
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Typical hospital stay:
5-10 days (per stage)
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Expected recovery time:
6-12 weeks for initial recovery; 3-6 months for full adaptation
Frequently Asked Questions
If you are considering ileal pouch anal anastomosis in India, these questions and answers can help you make a confident, informed decision.
Popular choices for ileal pouch anal anastomosis in India include Miot Hospital Chennai, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform ileal pouch anal anastomosis. MediFyr helps you compare surgical gastroenterologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for ileal pouch anal anastomosis compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 350 Thousand – 800 Thousand | 5-10 days (per stage) | ~ 6-12 weeks for initial recovery; 3-6 months for full adaptation | Know More |
| Turkey | TRY 1.23 Million – 2.8 Million | 5-10 days (per stage) | ~ 6-12 weeks for initial recovery; 3-6 months for full adaptation | Know More |
Top hospitals for Ileal Pouch Anal Anastomosis in India
These partner hospitals in India have dedicated surgical gastroenterology teams and experience managing patients undergoing ileal pouch anal anastomosis.
Chennai, India
250 DoctorsAngel Joshi, a 28-year-old graphic designer,...
Angel Joshi, a 28-year-old graphic designer, had been living with severe ulcerative colitis since age 19. For years, he managed with medications, but over the last 18 months, his symptoms escalated to 15-20 bloody bowel movements daily, debilitating abdominal cramps, and a 30-pound weight loss that left him too weak to work. His social life vanished due to constant urgency and fear of accidents. His gastroenterologist, Dr. Sharma, recommended an Ileal Pouch Anal Anastomosis (IPAA), explaining it would remove his diseased colon and rectum but allow him to pass stool normally, without a permanent ileostomy bag. Terrified but desperate for a life back, Angel agreed. The surgery was performed in two stages. The first stage, a proctocolectomy and temporary ileostomy, was physically grueling, but the immediate relief from UC symptoms was profound. Three months later, the second stage created the J-pouch and reversed the ileostomy. Recovery was challenging, with initial high stool frequency and 'pouchitis' requiring antibiotics. A year later, Angel has 5-6 soft bowel movements daily, controls them well, and has regained his weight and energy. Emotionally, he transitioned from a state of hopelessness and isolation to one of cautious optimism and immense gratitude. He's back to designing, dating, and hiking, activities he thought were lost forever. The journey was harder than he imagined, but he feels he has his life back.
Surgical Gastroenterologists for Ileal Pouch Anal Anastomosis
Explore experienced surgical gastroenterologists who regularly perform ileal pouch anal anastomosis and provide pre- and post-operative care in India.
- 35 Years Experience
- Surgical Gastroenterologist
Miot Hospital Chennai, Chennai
- 10 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Sarjapur Road, Bangalore
- 33 Years Experience
- Surgical Gastroenterologist
- 19 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Whitefield, Bangalore
- 17 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Whitefield, Bangalore
- 16 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Old Airport Road, Bangalore
- 25 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Vijayawada, vijayawada
- 11 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Vijayawada, vijayawada
- 16 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Malleshwaram, Bangalore
- 13 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Malleshwaram, Bangalore
- 13 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Jayanagar, Bangalore
- 12 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Jayanagar, Bangalore
- 30 Years Experience
- Gastroenterologist
SIMS Hospital Vadapalani, Chennai
- 25 Years Experience
- Surgical Gastroenterologist
SIMS Hospital Vadapalani, Chennai
- 29 Years Experience
- Surgical Gastroenterologist
SIMS Hospital Vadapalani, Chennai
- 18 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Hebbal, Bangalore
- 22 Years Experience
- Surgical Gastroenterologist
Kamineni Hospital, Tadigadapa, vijayawada
- 4 Years Experience
- Surgical Gastroenterologist
Kamineni Hospital, King Koti, Hyderabad
- 14 Years Experience
- Surgical Gastroenterologist