What is a Kock ileostomy?
The Kock pouch, also called the K-pouch or continent ileostomy, is an alternative to the traditional ileostomy in patients who have had a total proctocolectomy, the complete surgical removal of their colon and rectum. An ileostomy allows waste to drain from the small intestine to the outside of your body.
Why is a Kock pouch used?
K-Pouch (also known as a Kock Pouch or Continent Ileostomy) The K-pouch is used in cases of ulcerative colitis when the large intestine and rectum need to be removed because of disease and the anal sphincter muscles are weak, or because a J- or S-pouch cannot or should not be made.
What is Kock pouch diversion?
Continent ileostomy/Kock pouch: An internal reservoir for stool storage, made from ileum and attached to the abdominal wall by a special stoma/one-way valve, emptied by inserting a catheter through this stoma.
How do you use a Kock pouch?
Guidelines for draining the pouch
- Empty the pouch every two hours during the day while you are awake.
- Empty just before going to bed and right when you wake.
- Refrain from eating or drinking within two hours of bedtime.
- You’ll probably need to use a catheter to provide constant drainage overnight.
Who invented the Kock pouch?
Nils Kock made the first continent intestinal reservoir in 1969. By the early 1970s, many major hospitals in the United States were performing the Kock pouch procedure on patients with ulcerative colitis and familial polyposis, an inherited disorder characterized by cancer of the large intestine and rectum.
What is a continent pouch?
Continent Ileostomy (Abdominal Pouch) Expand Section. A continent ileostomy is a different type of ileostomy. With a continent ileostomy, a pouch that collects waste is made from part of the small intestine. This pouch stays inside your body, and it connects to your stoma through a valve that your surgeon creates.
What is a continent ostomy?
Also called a K-pouch, a continent ileostomy is a connection of the end of the small intestine, called the ileum, to the skin of your abdomen. A surgeon makes it so that waste can leave your body, because it can’t leave the usual way. Unlike other ileostomies, the K-pouch has a valve that the surgeon makes.
What is the Kock pouch made of?
A Kock pouch (or continent ileostomy) is an internal reservoir constructed out of the patient’s small bowel. This reservoir is attached to the abdominal wall and leakage of bowel contents is prevented by a one-way valve, also constructed from small bowel.
What is a Bcir pouch?
Like the Kock Pouch, a BCIR is a surgically-created pouch that collects waste material from the intestines. You drain the pouch several times a day using a catheter inserted through a small opening in the skin. This is a modified version of the internal pouch created by Dr. Nils Kock.
What are the different types of ileostomies?
There are 2 main types of ileostomy:
- loop ileostomy – where a loop of small intestine is pulled out through a cut (incision) in your abdomen, before being opened up and stitched to the skin to form a stoma.
- end ileostomy – where the ileum is separated from the colon and is brought out through the abdomen to form a stoma.
What’s the difference between a stoma and a colostomy bag?
A colostomy is an operation to divert 1 end of the colon (part of the bowel) through an opening in the tummy. The opening is called a stoma. A pouch can be placed over the stoma to collect your poo (stools). A colostomy can be permanent or temporary.
What is a Hartmann’s pouch colostomy?
Hartmann’s procedure is a type of colectomy that removes part of the colon and sometimes rectum (proctosigmoidectomy). The remaining rectum is sealed, creating what is known as Hartmann’s pouch. The remaining colon is redirected to a colostomy.