Continent Ileostomy: Evolution of Design

James S. Wu; Victor W. Fazio

doi:10.1055/s-2002-34091

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Clin Colon Rectal Surg 2002; 15(3): 231-244
DOI: 10.1055/s-2002-34091

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 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

REFERENCES

1 Brooke B N. The management of an ileostomy including its complications. Lancet . 1952; 2 102-104

PubMed Search in Google Scholar
2 Kock N G. Intra-abdominal ``reservoir'' in patients with permanent ileostomy. Preliminary observations on a procedure resulting in fecal ``continence'' in five ileostomy patients. Arch Surg . 1969; 99 223-231

Crossref PubMed Search in Google Scholar
3 Kock N G, Darle N, Hultén L. Ileostomy. Curr Prob Surg . 1977; 14 1-52

PubMed Search in Google Scholar
4 McLeod R S, Fazio V W. The continent ileostomy. In: Jagelman DG, ed. Mucosal Ulcerative Colitis, Mount Kisco, NY: Futura Publishing Co, Inc 1986: 241-275

Search in Google Scholar
5 Beahrs O H. Use of ileal reservoir following proctocolectomy. Surg Gynecol Obstet . 1975; 141 363-366

PubMed Search in Google Scholar
6 Goldman S L, Rombeau J L. The continent ileostomy: a collective review. Dis Colon Rectum . 1978; 21 594-599

PubMed Search in Google Scholar
7 Schrock T R. Complications of continent ileostomy. Am J Surg . 1979; 138 162-169

Crossref PubMed Search in Google Scholar
8 Cranley B. The Kock reservoir ileostomy: a review of its development, problems, and role in modern surgical practice. Br J Surg . 1983; 70 94-99

PubMed Search in Google Scholar
9 Dozois R R, Kelly K A, Ilstrup D. et al. Factors affecting revision rate after continent ileostomy. Arch Surg . 1981; 116 610-613

PubMed Search in Google Scholar
10 Fazio V W, Church J M. Complications and function of the continent ileostomy at the Cleveland Clinic. World J Surg . 1988; 12 148-154

Crossref PubMed Search in Google Scholar
11 Parks A G, Nicholls R J. Proctocolectomy without ileostomy for ulcerative colitis. Br Med J . 1978; 2 85-88

Crossref PubMed Search in Google Scholar
12 Fazio V W, Ziv Y, Church J M. Ileal pouch-anal anastomoses complications and function in 1005 patients. Ann Surg . 1995; 222 120-127

Crossref PubMed Search in Google Scholar
13 Farouk R, Pemberton J H, Wolff B G. Functional outcomes after ileal pouch-anal anastomosis for chronic ulcerative colitis. Ann Surg . 2000; 231 919-926

Crossref PubMed Search in Google Scholar
14 Biermann H J, Tocker A M, Tocker L R. Statistical survey of problems in patients with colostomy or ileostomy. Am J Surg . 1966; 112 647-650

Crossref PubMed Search in Google Scholar
15 Jacob R A, Pace W G, Thomford N R. The hazards of a permanent ileostomy. Arch Surg . 1969; 99 549-552

PubMed Search in Google Scholar
16 Roy P H, Sauer W G, Beahrs O H, Farrow G M. Experience with ileostomies. Evaluation of long-term rehabilitation in 497 patients. Am J Surg . 1970; 119 77-86

Crossref PubMed Search in Google Scholar
17 Morowitz D A, Kirsner J B. Ileostomy in ulcerative colitis. A questionnaire study of 1803 patients. Am J Surg . 1981; 141 370-375

Crossref PubMed Search in Google Scholar
18 Goldblatt M S, Corman M L, Haggitt R C. Ileostomy complications requiring revision: Lahey Clinic experience, 1964-1973. Dis Colon Rectum . 1977; 20 209-214

PubMed Search in Google Scholar
19 Sagar P M, Dozois R R, Wolff B G, Kelly K A. Disconnection , pouch revision, and reconnection of the ileal pouch-anal anastomosis. Br J Surg . 1996; 83 1401-1405

Crossref PubMed Search in Google Scholar
20 Fazio V W, Wu J S, Lavery I C. Repeat ileal pouch-anal anastomosis to salvage septic complications of pelvic pouches: clinical outcome and quality of life assessment. Ann Surg . 1998; 228 588-597

Crossref PubMed Search in Google Scholar
21 Kusunoki M, Sakanoue Y, Shoji Y. Conversion of malfunctioning J pouch to Kock's pouch. Case report. Acta Chir Scand . 1990; 156 179-181

PubMed Search in Google Scholar
22 Hultén L, Fasth S, Hallgren T, Öresland T. The failing pelvic pouch conversion to continent ileostomy. Int J Colorect Dis . 1992; 7 119-121

Crossref PubMed Search in Google Scholar
23 Ecker K-WW, Haberer M, Feifel G. Conversion of the failing ileo-anal pouch to reservoir-ileostomy rather than to ileostomy alone. Dis Colon Rectum . 1996; 39 977-980

PubMed Search in Google Scholar
24 Behrens D T, Paris M, Luttrell J N. Conversion of failed ileal pouch-anal anastomosis to continent ileostomy. Dis Colon Rectum . 1999; 42 490-496

PubMed Search in Google Scholar
25 Goligher J C. Present status of the continent ileostomy: discussion. Dis Colon Rectum . 1976; 19 207-212

PubMed Search in Google Scholar
26 Cohen Z. Evolution of the Kock continent reservoir ileostomy. Can J Surg . 1982; 25 509-514

PubMed Search in Google Scholar
27 Church J M, Fazio V W. The continent ileostomy: indications, techniques for construction, and management of complications. Sem Colon Rectal Surg . 1991; 2 102-110

PubMed Search in Google Scholar
28 Kock N G, Myrvold H E, Nilsson L O. Progress report on the continent ileostomy. World J Surg . 1980; 4 143-148

PubMed Search in Google Scholar
29 Handelsman J C, Gottlieb L M, Hamilton S R. Crohn's disease as a contraindication to Kock pouch (continent ileostomy). Dis Colon Rectum . 1993; 36 840-843

PubMed Search in Google Scholar
30 Beahrs O H. Present status of the continent ileostomy: discussion. Dis Colon Rectum . 1976; 19 207-212

PubMed Search in Google Scholar
31 Bloom R J, Larsen C P, Watt R, Oberhelman Jr A H. A re-appraisal of the Kock continent ileostomy in patients with Crohn's disease. Surg Gynecol Obstet . 1986; 162 105-108

PubMed Search in Google Scholar
32 Barnett W O. The continent jejunal reservoir in Crohn's colitis. J Miss State Med Assoc . 1986; 27 119-121

PubMed Search in Google Scholar
33 Barnett W O. Continent intestinal reservoir. South Med J . 1987; 80 1262-1265

PubMed Search in Google Scholar
34 Barnett W O. Current experiences with the continent intestinal reservoir. Surg Gynecol Obstet . 1989; 168 1-5

PubMed Search in Google Scholar
35 Ecker K W, Schmid T, Haberer M. Erfahrungen mit der kontinenten ileostomie nach Kock. Zentralbl Chir . 1994; 119 851-861

PubMed Search in Google Scholar
36 Regimbeau J M, Panis Y, Pocard M. Long-term results of ileal pouch-anal anastomosis for colorectal Crohn's disease. Dis Colon Rectum . 2001; 44 769-778

Crossref PubMed Search in Google Scholar
37 Kock N G. Intussuscepted ileal nipple valve-early experience. Scand J Urol Nephrol Suppl . 1992; 142 59-63

PubMed Search in Google Scholar
38 Goligher J C, Lintott D. Experience with 26 reservoir ileostomies. Br J Surg . 1975; 62 893-900

PubMed Search in Google Scholar
39 Öjerskog B, Kock N G, Nilsson L O. Long-term follow-up of patients with continent ileostomies. Dis Colon Rectum . 1990; 33 184-189

PubMed Search in Google Scholar
40 Hultén L, Fasth S. Loop ileostomy for protection of the newly constructed ileostomy reservoir. Br J Surg . 1981; 68 11-13

PubMed Search in Google Scholar
41 Dozois R R, Kelly K A, Beart Jr W R, Beahrs O H. Improved results with continent ileostomy. Ann Surg . 1980; 192 319-324

PubMed Search in Google Scholar
42 Madigan M R. The continent ileostomy and the isolated ileal bladder. Ann R Coll Surg (Engl) . 1976; 58 62-69

PubMed Search in Google Scholar
43 Failes D G. The continent ileostomy-an 11-year experience. Aust NZ J Surg . 1984; 54 345-352

PubMed Search in Google Scholar
44 Kock N G, Brevinge H, Philipson B M, Öjerskog B. Continent ileostomy: the present technique and long-term results. Ann Chir Gynaecol . 1986; 75 63-70

PubMed Search in Google Scholar
45 Okada Y, Arai Y, Oishi K, Takeuchi H, Yoshida O. Stable formation of the nipple valve in Kock pouch for diversion of the urinary tract. Surg Gynecol Obstet . 1989; 169 315-318

PubMed Search in Google Scholar
46 Steichen F M, Loubeau J-M, Stremple J F. The continent ileal reservoir. Surgical Rounds . 1978; 10-18

PubMed Search in Google Scholar
47 Fazio V W, Tjandra J J. Technique for nipple valve fixation to prevent valve slippage in continent ileostomy. Dis Colon Rectum . 1992; 35 1177-1179

PubMed Search in Google Scholar
48 Fazio V W. personal communication .
49 Barnett W O. Improving the continent ileostomy. J Miss State Med Assoc . 1983; 24 31-34

PubMed Search in Google Scholar
50 Barnett W O. Modified techniques for improving the continent ileostomy. Am Surg . 1984; 50 66-69

PubMed Search in Google Scholar
51 Kock N G. Present status of the continent ileostomy: surgical revision of the malfunctioning ileostomy. Dis Colon Rectum . 1976; 19 200-206

PubMed Search in Google Scholar
52 McLeod R S, Fazio V W. The continent ileostomy: an acceptable alternative. J Enterostom Ther . 1984; 11 140-146

PubMed Search in Google Scholar
53 Mullen P, Behrens D, Chalmers T. Barnett continent intestinal reservoir: multicenter experience with an alternative to the Brooke ileostomy. Dis Colon Rectum . 1995; 38 573-582

PubMed Search in Google Scholar
54 Beahrs O H, Bess M A, Beart Jr W R, Pemberton J H. Indwelling ileostomy valve device. Am J Surg . 1981; 141 111-115

Crossref PubMed Search in Google Scholar
55 Stein J P, Lieskovsky G, Ginsberg D A. The T-pouch: an orthotopic ileal neobladder incorporating a serosal-lined ileal antireflux technique. J Urol . 1998; 159 1836-1842

PubMed Search in Google Scholar
56 Kaiser A M, Stein J P, Beart Jr W R. T-pouch: a new valve design for a continent ileostomy (in press). Dis Colon Rectum. 2002;

PubMed Search in Google Scholar