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Clin Colon Rectal Surg 2002; 15(3): 231-244
DOI: 10.1055/s-2002-34091
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Continent Ileostomy: Evolution of Design

James S. Wu, Victor W. Fazio
  • Department of Colorectal Surgery, Cleveland Clinic Foundation, Cleveland, OH
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Publication History

Publication Date:
20 September 2002 (online)

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ABSTRACT

Continent ileostomy (Kock pouch) is an alternative to end ileostomy for patients who have undergone total proctocolectomy. The procedure reached the height of its popularity soon after its introduction in 1969, but subsequently was supplanted by ileal pouch anal anastomosis (IPAA), an operation that preserves the natural route of defecation. Continent ileostomy is still appropriate for selected patients with ulcerative colitis and familial polyposis who are not candidates for IPAA or for whom IPAA or end ileostomy have failed. Complication rates that initially were high have decreased during the past three decades following the steady introduction of technical improvements.

KEYWORDS

Continent ileostomy - Kock pouch - technique - review

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