Pouchy.orgGlossary of Key Terms
Medical terms explained in plain language.
Surgery & Anatomy
- IPAA (Ileal Pouch-Anal Anastomosis) — The medical name for J-pouch surgery. The ileum (end of the small intestine) is shaped into a pouch and connected to the anus.
- J-Pouch — The internal reservoir made from your small intestine. Called “J-pouch” because of its J-shape.
- Ileostomy — A temporary opening in the abdomen where stool exits into an external bag. Used while the pouch heals.
- Takedown — The surgery to reverse the temporary ileostomy and activate the pouch.
- Stoma — The small, round opening on the abdomen where the intestine comes through during an ileostomy.
- Anastomosis — A surgical connection between two parts of the intestine.
Conditions
- Ulcerative Colitis (UC) — A type of inflammatory bowel disease (IBD) that causes inflammation and ulcers in the colon and rectum.
- FAP (Familial Adenomatous Polyposis) — A genetic condition causing hundreds of polyps in the colon that can become cancerous.
- Pouchitis — Inflammation of the J-pouch lining. The most common pouch complication, usually treated with antibiotics.
- Cuffitis — Inflammation of the small strip of rectal tissue left behind during surgery. Similar to a mild flare of colitis.
- Stricture — Narrowing at the connection point between the pouch and anus. May cause difficulty passing stool.
Tests & Treatments
- Pouchoscopy — An endoscopy (camera exam) specifically to look inside the J-pouch. Used to diagnose pouchitis and other issues.
- Biologics — Medications made from living cells that target specific parts of the immune system. Used for stubborn inflammation.
- Probiotics — Beneficial bacteria supplements. Specific formulations studied for pouchitis prevention may help — ask your gastroenterologist.
- Bowel Obstruction — A blockage that prevents stool from passing through the intestine. Can be caused by scar tissue or food.
Last reviewed: August 14, 2026 · Pouchy.org patient education, medically reviewed by Stefan D. Holubar, MD, MS (Cleveland Clinic).
Educational content only — not medical advice. Pouchy.org explains general concepts about pouch surgery. Always discuss your own care with your surgical and GI team.