| 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. |