Treatment of outflow tract problems associated with continent ileostomy (Kock pouch) - Report of six cases

Lori Meg Gottlieb, Jacob C. Handelsman

Research output: Contribution to journalArticle

Abstract

The Kock pouch procedure has undergone a number of revisions since its conception, including creation of a valve and fascial stabilization. Nevertheless, complications which defeat the goal of continence are not unheard of. Naturally, when such complications arise, the patients are disadvantaged. Major examples include pouchitis and valve leakage. Lesser complications of strictures of the outflow tract, valve prolapse, and tissue loss in the outflow tract are also identified and are surgically remediable. Problems may be successfully addressed by minor corrections under local anesthesia or may mandate more extensive procedures. Examples are provided of such successful cases, which allow patients to derive the benefits of continent ileostomy.

Original languageEnglish (US)
Pages (from-to)936-940
Number of pages5
JournalDiseases of the Colon & Rectum
Volume34
Issue number10
DOIs
StatePublished - Oct 1 1991

Keywords

  • Continent ileostomy
  • Incontinence
  • Kock pouch
  • Stricture
  • Valve prolapse

ASJC Scopus subject areas

  • Gastroenterology

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