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| Continent Ileostomy |
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Continent Ileostomy is done for patients who must undergo removal of the entire colon and rectum. The colon (large intestine) is removed & a pouch & nipple valve surgically created from the ileum (lower end of the small intestine) is connected to the skin of the lower abdomen. Since the Involuntary discharge of intestinal contents is prevented by the nipple valve the need for an external bag over the stoma is eliminated. |
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(source: Southern Medical Journal).
More Information (source: Southern Medical Journal).
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05/01/1983 12:00 AM
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Continent Ileostomy
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The continent ileostomy, consisting of a valve and a pouch, makes available an alternative system in which intestinal discharge can be stored and controlled after coloproctectomy. Earlier concerns regarding valve slippage with resulting malfunction have been largely eliminated by recent modifications in the technique of valve contruction. A continent ileostomy was provided for 19 patients. In the first five, an antiperistaltic (Kock) valve was constructed and two had dessusception which necessitated reoperation. In the 16 cases in which an isoperistaltic valve was fashioned, there has been no slippage. These improvements, along with the significant enhancement of the quality of life, indicate a need to reexamine the advisability of providing a spout-type ileostomy in those cases favorable to the construction of a continent ileostomy.
(C) 1983 Southern Medical Association
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10/01/1987 12:00 AM
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Continent Intestinal Reservoir
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colon; In this series, 170 patients have received a continent intestinal reservoir, with follow-up of one to eight years. In 126 a conventional ileostomy was converted to a continent intestinal reservoir, 38 at the time of coloproctectomy. Six had an unsatisfactory ileoanal or ileorectal anastomosis initially, and 26 (15%) required revisional surgery for problems involving the reservoir or valve. The incidence of valve slippage was 3%. Eighty-five percent achieved a normally functioning small bowel reservoir with one operation, and 19 more patients were added with one additional operation, for an ultimate good result of 96% with two operations at most. The average reservoir capacity is 400 ml, and most patients empty the pouch two or three times per day. Under favorable circumstances, the continent intestinal reservoir is preferable for most patients after coloproctectomy.
(C) 1987 Southern Medical Association
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