J-Pouch Surgery in Los Angeles
Expert J-Pouch surgery with Dr. Moshe Barnajian — restoring near-normal bowel function after colon removal, most often without a permanent ostomy.
Restoring Function After Colon Removal
J-Pouch surgery is a restorative procedure for patients who need their colon and rectum removed, most often due to ulcerative colitis or certain hereditary conditions. Instead of a permanent ostomy, the surgeon builds an internal pouch from the small intestine so stool passes naturally.
For the right patient, J-Pouch surgery is life-changing: it removes the diseased tissue, cures the underlying colitis, and preserves quality of life. Dr. Barnajian performs these technically demanding operations with minimally invasive techniques.
Trained at Cedars-Sinai, Dr. Barnajian has particular expertise in restorative and J-Pouch surgery, including redo procedures.
How J-Pouch Surgery Works
J-Pouch surgery is usually performed in planned stages for the safest result and the best long-term function.
Colon Removal
The diseased colon is removed, and a temporary ileostomy allows the body to heal.
Pouch Construction
The end of the small intestine is folded into a J shape and connected just above the anus.
Ostomy Closure
The temporary ileostomy is closed, restoring natural bowel continuity.
Who Is a Candidate for J-Pouch Surgery
J-Pouch surgery is most often recommended for patients with ulcerative colitis whose disease is not controlled by medication, or for those with familial adenomatous polyposis. It is also an option after certain complications or precancerous changes.
Because pouch construction is technically demanding, outcomes are closely tied to surgeon experience. Dr. Barnajian evaluates each patient carefully, discusses expectations honestly, and also performs redo procedures for pouches that are not functioning well.
Why Choose J-Pouch Surgery
For suitable patients, this reconstruction offers meaningful, lasting advantages over a permanent ostomy.
No Permanent Ostomy
Most patients avoid a permanent bag and pass stool naturally after recovery.
Cures the Colitis
Removing the colon and rectum eliminates ulcerative colitis and its cancer risk.
Minimally Invasive
Small-incision construction means less pain, smaller scars, and a faster recovery.
Excellent Quality of Life
After the pouch adapts, most patients enjoy a broad diet and an active, unrestricted life.
Redo Expertise
Dr. Barnajian also repairs poorly functioning pouches built elsewhere.
What Your Visit Looks Like
Dr. Barnajian explains each stage clearly, sets realistic expectations, and supports you through recovery as the pouch gradually adapts and function improves.
Before your appointment
Bring your GI records and prior surgical history so we can plan the safest, most effective staged approach.
During your visit
Your consultation covers the staged plan, recovery timeline, and what life with a J-pouch is like.
After your care
Bowel frequency steadily decreases over the months following surgery, and our team supports you the whole way.
Same-week appointments available
Why Patients Choose Dr. Barnajian
Dr. Moshe Barnajian is a board-certified colorectal surgeon (FASCRS), Cedars-Sinai trained, with particular expertise in restorative and J-pouch surgery, including complex redo procedures.
His practice offers coordinated care, most PPO insurance accepted with benefits verified in advance, and close support through every stage. Call (424) 622-9028 to schedule.
J-Pouch Surgery Across Los Angeles
Dr. Barnajian performs J-Pouch surgery for patients from Beverly Hills, Santa Monica, Brentwood, and throughout Los Angeles, with coordinated care and second opinions available.
For trusted information on J-Pouch surgery and colorectal health, visit the American Society of Colon & Rectal Surgeons, or explore all of Dr. Barnajian's colorectal services.
J-Pouch Surgery FAQs
Will I need a permanent ostomy?
Usually not. The purpose of The procedure is to restore natural bowel function and avoid a permanent ostomy. A temporary ileostomy is used during healing and later closed.
What is life like afterward?
After the pouch adapts over several months, most patients eat a broad diet, travel freely, and enjoy an active life, free from the flares and urgency of their original disease.
When should I see a specialist about J-Pouch surgery?
You should be evaluated if you have a new diagnosis, persistent symptoms, or a significant family history. Early, expert evaluation of Pouch reconstruction leads to more options and better outcomes. Call (424) 622-9028 to be seen this week.
How is J-Pouch surgery managed?
Care is individualized and coordinated with your other physicians when needed. Dr. Barnajian explains every option and recommends the safest, most effective plan.
Do you accept insurance?
Yes. Most PPO plans are accepted and our team verifies your benefits before your visit. Call (424) 622-9028 to confirm coverage.
Discuss J-Pouch Surgery in Los Angeles
Life-restoring reconstruction from an experienced colorectal surgeon. Prompt consultations and second opinions available.