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| Kock Ileostomy |
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Until the Kock pouch was surgically created by Dr. Nils Koch in the late 1960's, the patients on whom Proctocolectomy was performed for ulcerative colitis required ileostomy in the form of an external bag or pouch to complete the diverted channel of human waste. The Kock pouch is an internal bag or reservoir constructed from the ileum (small intestine) supplemented by one-way valve to hold the flow of waste off the body till same is drained out making use of an external catheter by the patient at his or her convenience. In sharp contrast with conventional ileostomy performed until then, the new continent ileostomy provided a much better life for the patients. |
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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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