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Clin Colon Rectal Surg 2022; 35(06): 499-504
DOI: 10.1055/s-0042-1758192
Review Article

Don't Forget about the K-Pouch!

Rebecca Shuford
1   Department of Surgery, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, North Carolina
,
Jean H. Ashburn
1   Department of Surgery, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, North Carolina
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Abstract

The continent ileostomy (CI) was popularized by Nils Kock as a means to provide fecal continence to patients, most commonly in those with ulcerative colitis, after proctocolectomy. Although the ileal pouch-anal anastomosis (IPAA) now represents the most common method to restore continence after total proctocolectomy, CI remains a suitable option for highly selected patients who are not candidates for IPAA or have uncorrectable IPAA dysfunction but still desire fecal continence. The CI has exhibited a fascinating and marked evolution over the past several decades, from the advent of the nipple-valve to a distinct pouch design, giving the so-inclined and so-trained colorectal surgeon a technique that provides the unique patient with another option to restore continence. The CI continues to offer a means for appropriately selected patients to achieve the highest possible quality of life (QOL) and functional status after total proctocolectomy.

Keywords

continent ileostomy - Kock pouch - ulcerative colitis


Publikationsverlauf

Artikel online veröffentlicht:
29. November 2022

© 2022. Thieme. All rights reserved.

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