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Pouch surgery, commonly called a J-pouch or Ileo-anal Pouch Anastomosis (IPAA), involves removal of the entire diseased colon and rectum, with subsequent reconstruction of a new rectum with a loop of small intestine that is folded on itself. It is performed for those with ulcerative colitis or a form of multiple colon polyps called familial adenomatous polyposis (FAP). It can be performed laparoscopically and often requires a temporary stoma or fecal diversion to allow things to heal. Most patients experience six to eight bowel movements per day after this surgery, as the colon has been removed entirely. This surgery requires a motivated patient, but it can provide life-altering relief to several disease processes.