IPAA

Medical abbreviation · Gastroenterology

IPAA
Stands forIleal pouch-anal anastomosis
CategoriesMedical

IPAA stands for Ileal pouch-anal anastomosis, a gastroenterology abbreviation.

Restorative operation after total proctocolectomy in which the end of the small intestine is folded into a reservoir and joined to the anus, avoiding a permanent stoma. It is the standard elective surgery for ulcerative colitis and familial adenomatous polyposis.

Example: Status post IPAA for UC in 2018; now with pouchitis, starting ciprofloxacin for 14 days.

Usage notes

The reservoir is usually called a J-pouch because of its shape. Pouchitis, an inflammation of the pouch, affects up to about half of patients at some point. It is usually performed in two or three stages with a temporary loop ileostomy. Crohn's disease is generally a contraindication.

More gastroenterology abbreviations

  • HNPCC – Hereditary nonpolyposis colorectal cancer
  • HRS – Hepatorenal syndrome
  • IBD – Inflammatory bowel disease
  • IBS – Irritable bowel syndrome
  • IBS-C – Irritable bowel syndrome with predominant constipation
  • IBS-D – Irritable bowel syndrome with predominant diarrhea
  • LBO – Large bowel obstruction
  • LES – Lower esophageal sphincter
  • LGIB – Lower gastrointestinal bleeding
  • MASH – Metabolic dysfunction-associated steatohepatitis
  • MASLD – Metabolic dysfunction-associated steatotic liver disease
  • MELD – Model for End-Stage Liver Disease

See all 85 gastroenterology abbreviations →

This entry is for general education and is not medical advice. Abbreviation use varies between institutions; always confirm in context.