The Lleoanal reservoir; an alternative to ileostomy

The Ileoanal reservoir, or Ileal pouch-anal anastomosis, Is a relatively new, Innovative surgical approach offering normal sphincter preservation to clients with familial adenomatous polyposis and ulcerative colitis. In most patients, the Ileal pouch-anal anastomosis Is performed In two stages. In stage one, the BT nurse must address such patlent-edu-canon Issues as an understanding of the surgical procedure, care of the temporary Ileostomy, diet and electrolyte balance, care of the perirectal skin, and the restrengthenlng of bowel control. Stage two BT nursing Interventions focus on perianal skin care, use of medications, sphincter reeducation, and prompt recognition of complications. Written Instructions offer the best method of providing crucial Information succinctly. Patients require significant physical and emotional support throughout the potentially complex, long-term course until an optimal steady state Is achieved.