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https://www.mayoclinic.org/tests-procedures/j-pouch-surgery/care-at-mayo-clinic/pcc-20385071 Ileoanal anastomosis (J-pouch) surgery - Care at Mayo Clinic - Mayo Clinic This surgery removes the large intestine. It's often done to treat ulcerative colitis and other bowel conditions. ileoanal anastomosisj pouchsurgery caremayoclinic