Pouch Clinic

Specialized Pouch (IPAA) Clinic

Comprehensive, multidisciplinary care for people living with an ileal pouch–anal anastomosis (IPAA / “J-pouch”)
We provide care for patients across British Columbia

The IBD Centre of BC Specialized Pouch Clinic supports patients who have had, or are planning to have, ileal pouch–anal anastomosis (IPAA) surgery, commonly called a J-pouch.

Living with a pouch can sometimes bring questions, symptoms, or concerns. Our clinic is designed to help patients understand their pouch, manage symptoms, and stay healthy long-term with support from a team experienced in IBD and pouch care.

Download our Pouch Clinic brochure.

FAQ

  • What is a J-pouch?

    A J-pouch is an internal pouch created from the small intestine during surgery, usually after the colon is removed for ulcerative colitis or certain other conditions.

    The pouch allows stool to pass through the body normally without a permanent ostomy.

    Many people with a pouch live very full and active lives. However, some patients may experience symptoms or complications that require specialized care.

    How we help patients with a pouch:

    Our clinic provides support before and after pouch surgery and helps manage common pouch-related issues. We help patients with:

    • Understanding pouch surgery and recovery
    • Monitoring pouch health over time
    • Managing symptoms such as increased bowel frequency, urgency, or discomfort
    • Diagnosing and treating pouch inflammation (pouchitis)
    • Managing cuffitis and other pouch-related conditions
    • Addressing complex pouch concerns
    • Helping patients improve quality of life with a pouch

    Our goal is to help you feel confident managing your pouch and living your life fully.

  • When should you seek pouch care?

    You may benefit from visiting the pouch clinic if you experience:

    • Frequent bowel movements that feel difficult to control
    • Urgency or leakage
    • Abdominal or pelvic discomfort
    • Bleeding from the pouch
    • Difficulty emptying the pouch
    • Recurrent pouchitis or inflammation
    • Concerns about pouch function or quality of life

    If you are unsure whether your symptoms are related to your pouch, we can help assess them.

  • Considering pouch surgery?

    If you are considering pouch surgery, we can help you prepare. We provide:

    • Education about how a pouch works
    • What to expect after surgery
    • Tips for recovery and long-term care
    • Answers to common questions patients have before surgery

Meet The IBD Centre of BC's Pouch Clinic Team

Dr. Astrid Williams

MD, MHSc, Gastroenterologist