Freedom without an External Pouch
Enjoy the freedom and control of being without an external pouch! A BCIR surgery creates an internal reservoir eliminating the need for an external pouch. Some benefits of being without an external pouch include:
- Control of Waste Elimination
- Ability to Perform Physical Activities
- Shorter Hospital Stay
- Longer Deferral of Evacuations
- Less Skin Irritation and Burning from Waste Leakage
Please contact Dr. Schiller to see if BCIR Surgery is right for you.
Ileostomy Treatment Options
This website is about ostomy options, especially ileostomy options and ileostomy reversal. The information is for people who need to undergo removal of their large intestine (colon) and rectum (proctocolectomy) – usually for Ulcerative Colitis or Familial Adenomatous Polyposis. It is also for people who have already had surgery and are living with the type of ostomy called an ileostomy who are candidates for ileostomy reversal surgery. It is also for people with a malfunctioning Kock pouch or failed J-pouch. There is information about the different types of stomas and ostomy options, including dietary and stoma care concerns. Ulcerative Colitis surgery (removal of colon) is usually required when medical colitis treatment management fails or there is a risk of cancer. Colitis treatment fails in ulcerative colitis (sometimes called ulcerated colitis) in up to 50% of patients. This website is about avoiding a stoma or ostomy, or if you already have an ileostomy, this will give extensive information about ileostomy reversal.
There are three surgical options for eliminating intestinal waste after surgery to remove the colon and rectum. These include:
- The BCIR or Barnett Continent Intestinal Reservoir – a major modification of the original Kock Pouch Continent Ileostomy
- The conventional or traditional ostomy known as the Brooke ileostomy
- The ileoanal J-pouch (also known as the IPAA, the pull-through, and the J pouch)
The difference between the BCIR and a conventional ileostomy
The difference between the BCIR or Barnett Pouch and a conventional ileostomy is control. The BCIR is the freedom option of ileostomy reversal. It restores control over the elimination of intestinal waste to the patient. You now control your evacuations, being able to defer them for long periods of time during the day until convenient. You will sleep through the night not needing to worry about an external ileostomy pouch coming loose and leaking. You will be able to sleep prone – lying flat on your stomach. You will be unlimited in physical activities, and intimacy will be easier. If you are limited by a failed J pouch, you can avoid having a stoma (ostomy) and regain the quality of life you deserve.
If you are a person unhappy with your Brooke ileostomy, or if you have a malfunctioning or failed ileoanal J-pouch or Kock pouch, or if your colitis treatment has failed, this website will provide information about the BCIR – the Barnett Continent Intestinal Reservoir, and ileostomy reversal. It will demonstrate the difference between a typical ostomy and a continent ostomy. If you are facing removal of colon surgery (colectomy), or are not satisfied with wearing an ileostomy bag and all that is involved with ileostomy care, you will find information about how ileostomy care and ileostomy diet differs for people with a BCIR or properly functioning Kock Pouch compared to a conventional stoma. For prospective patients, we can provide patients to speak with who have been through ileostomy reversal surgery and have experienced the difference it has made in their lives. Feel free to contact us for more information and for any questions.